J1575
HCPCS Procedure Code
HCPCS code J1575 is the #2,941 most-billed Medicaid procedure code, with $3.0M in payments across 2K claims from 2018–2024. The national median cost per claim is $1,577.48.
Total Paid
$3.0M
0.00% of all spending
Total Claims
2K
Providers
1
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for J1575? Based on 1 providers billing this code nationally.
Median
$1,577.48
Average
$1,577.48
Std Dev
—
Max
$1,577.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $1,577.48 and $1,577.48 per claim for this code.
90% bill between $1,577.48 and $1,577.48.
Top 1% bill above $1,577.48.
About This Procedure
HCPCS code J1575 was billed by 1 providers across 2K claims, totaling $3.0M in Medicaid payments from 2018–2024. This code was used for 901 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
$1,577.48
Providers Billing
1
National Spending
$3.0M
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.