J0576
HCPCS Procedure Code
HCPCS code J0576 is the #6,415 most-billed Medicaid procedure code, with $67K in payments across 178 claims from 2018–2024. The national median cost per claim is $593.36.
Total Paid
$67K
0.00% of all spending
Total Claims
178
Providers
5
Avg Cost/Claim
$374
National Cost Distribution
How much do providers bill per claim for J0576? Based on 2 providers billing this code nationally.
Median
$593.36
Average
$593.36
Std Dev
$652.98
Max
$1,055.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $362.50 and $824.22 per claim for this code.
90% bill between $223.98 and $962.74.
Top 1% bill above $1,045.85.
About This Procedure
HCPCS code J0576 was billed by 5 providers across 178 claims, totaling $67K in Medicaid payments from 2018–2024. This code was used for 155 unique beneficiaries.
Fraud Risk Context
Injectable drug codes carry high per-claim costs and have been involved in drug diversion and upcoding schemes.
Source: HHS OIG Reports
Risk Assessment
Billing Statistics
Median Cost/Claim
$593.36
Providers Billing
2
National Spending
$67K
Avg/Median Ratio
1.00×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J0576
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1083659502 | $62K |
| 2 | 1942453220 | $4K |
| 3 | 1467490425 | $0 |
| 4 | 1588260889 | $0 |
| 5 | 1881680718 | $0 |
Showing top 5 of 5 providers billing this code