J2765
HCPCS Procedure Code
HCPCS code J2765 is the #2,699 most-billed Medicaid procedure code, with $4.1M in payments across 2.9M claims from 2018–2024. The national median cost per claim is $0.45. Costs vary widely — the 90th percentile is $5.70 per claim, 12.7× the median.
Total Paid
$4.1M
0.00% of all spending
Total Claims
2.9M
Providers
2K
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for J2765? Based on 2K providers billing this code nationally.
Median
$0.45
Average
$2.92
Std Dev
$18.69
Max
$646.40
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.06 and $1.75 per claim for this code.
90% bill between $0.01 and $5.70.
Top 1% bill above $34.33.
About This Procedure
HCPCS code J2765 was billed by 2K providers across 2.9M claims, totaling $4.1M in Medicaid payments from 2018–2024. This code was used for 2.5M 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
$0.45
Providers Billing
2K
National Spending
$4.1M
Avg/Median Ratio
6.49×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2765
| # | Provider | Total Paid |
|---|---|---|
| 1 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $97K |
| 2 | 1417432840 | $95K |
| 3 | 1477584993 | $92K |
| 4 | 1104856095 | $71K |
| 5 | 1831188275 | $67K |
| 6 | 1144228446 | $65K |
| 7 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $61K |
| 8 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $58K |
| 9 | 1376513754 | $55K |
| 10 | 1538141627 | $55K |
| 11 | 1720537178 | $48K |
| 12 | 1699129601 | $42K |
| 13 | 1821147786 | $41K |
| 14 | 1699704254 | $36K |
| 15 | 1497792550 | $36K |
| 16 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $33K |
| 17 | 1518951300 | $32K |
| 18 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $31K |
| 19 | 1356390264 | $30K |
| 20 | 1811946734 | $30K |
Showing top 20 of 2K providers billing this code