J0720
HCPCS Procedure Code
HCPCS code J0720 is the #8,386 most-billed Medicaid procedure code, with $3K in payments across 332 claims from 2018–2024. The national median cost per claim is $9.55.
Total Paid
$3K
0.00% of all spending
Total Claims
332
Providers
3
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for J0720? Based on 3 providers billing this code nationally.
Median
$9.55
Average
$11.00
Std Dev
$6.41
Max
$18.01
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.50 and $13.78 per claim for this code.
90% bill between $6.27 and $16.32.
Top 1% bill above $17.84.
About This Procedure
HCPCS code J0720 was billed by 3 providers across 332 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 154 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
$9.55
Providers Billing
3
National Spending
$3K
Avg/Median Ratio
1.15×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.