J0577
HCPCS Procedure Code
HCPCS code J0577 is the #6,329 most-billed Medicaid procedure code, with $73K in payments across 164 claims from 2018–2024. The national median cost per claim is $525.66.
Total Paid
$73K
0.00% of all spending
Total Claims
164
Providers
3
Avg Cost/Claim
$448
National Cost Distribution
How much do providers bill per claim for J0577? Based on 2 providers billing this code nationally.
Median
$525.66
Average
$525.66
Std Dev
$96.47
Max
$593.88
Percentile Distribution (Cost per Claim)
50% of providers bill between $491.56 and $559.77 per claim for this code.
90% bill between $471.09 and $580.23.
Top 1% bill above $592.51.
About This Procedure
HCPCS code J0577 was billed by 3 providers across 164 claims, totaling $73K in Medicaid payments from 2018–2024. This code was used for 87 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
$525.66
Providers Billing
2
National Spending
$73K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.