J0775
HCPCS Procedure Code
HCPCS code J0775 is the #2,913 most-billed Medicaid procedure code, with $3.1M in payments across 323 claims from 2018–2024. The national median cost per claim is $8,630.80.
Total Paid
$3.1M
0.00% of all spending
Total Claims
323
Providers
2
Avg Cost/Claim
$9K
National Cost Distribution
How much do providers bill per claim for J0775? Based on 2 providers billing this code nationally.
Median
$8,630.80
Average
$8,630.80
Std Dev
$1,735.96
Max
$9,858.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $8,017.05 and $9,244.56 per claim for this code.
90% bill between $7,648.80 and $9,612.81.
Top 1% bill above $9,833.76.
About This Procedure
HCPCS code J0775 was billed by 2 providers across 323 claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 281 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
$8,630.80
Providers Billing
2
National Spending
$3.1M
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.