J2675
HCPCS Procedure Code
HCPCS code J2675 is the #6,713 most-billed Medicaid procedure code, with $47K in payments across 998 claims from 2018–2024. The national median cost per claim is $0.99. Costs vary widely — the 90th percentile is $138.26 per claim, 139.7× the median.
Total Paid
$47K
0.00% of all spending
Total Claims
998
Providers
6
Avg Cost/Claim
$47
National Cost Distribution
How much do providers bill per claim for J2675? Based on 5 providers billing this code nationally.
Median
$0.99
Average
$46.63
Std Dev
$102.05
Max
$229.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.62 and $1.88 per claim for this code.
90% bill between $0.53 and $138.26.
Top 1% bill above $220.08.
About This Procedure
HCPCS code J2675 was billed by 6 providers across 998 claims, totaling $47K in Medicaid payments from 2018–2024. This code was used for 474 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
$0.99
Providers Billing
5
National Spending
$47K
Avg/Median Ratio
47.10×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2675
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1821074972 | $46K |
| 2 | 1750467452 | $190 |
| 3 | 1124328273 | $51 |
| 4 | 1689949273 | $46 |
| 5 | 1164582631 | $24 |
| 6 | 1578753703 | $0 |
Showing top 6 of 6 providers billing this code