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#2789 of 11K

J2710

HCPCS Procedure Code

HCPCS code J2710 is the #2,789 most-billed Medicaid procedure code, with $3.6M in payments across 605K claims from 2018–2024. The national median cost per claim is $1.48. Costs vary widely — the 90th percentile is $22.17 per claim, 15.0× the median.

Total Paid

$3.6M

0.00% of all spending

Total Claims

605K

Providers

815

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for J2710? Based on 541 providers billing this code nationally.

Median

$1.48

Average

$15.36

Std Dev

$81.39

Max

$1,263.27

Percentile Distribution (Cost per Claim)

p10
$0.02
p25
$0.12
Median
$1.48
p75
$6.61
p90
$22.17
p95
$48.02
p99
$274.35

50% of providers bill between $0.12 and $6.61 per claim for this code.

90% bill between $0.02 and $22.17.

Top 1% bill above $274.35.

About This Procedure

HCPCS code J2710 was billed by 815 providers across 605K claims, totaling $3.6M in Medicaid payments from 2018–2024. This code was used for 526K 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

$1.48

Providers Billing

541

National Spending

$3.6M

Avg/Median Ratio

10.38×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for J2710

#ProviderTotal Paid
1Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$525K
21073518007$195K
31750332565$179K
4West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$142K
51184606600$131K
61952348047$122K
7University Medical Center, Inc

Louisville, KY · Student in an Organized Health Care Education/Training Program

$108K
81477584993$101K
9University Of Kentucky

Lexington, KY · General Acute Care Hospital

$82K
101891900635$64K
111639124142$63K
12Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$60K
131821002007$59K
141558313213$56K
151700821808$54K
161881785863$51K
17Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$48K
18Bluefield Hospital Company Llc

Bluefield, WV · General Acute Care Hospital

$47K
19Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$47K
20Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$47K

Showing top 20 of 815 providers billing this code

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