J2777
HCPCS Procedure Code
HCPCS code J2777 is the #1,121 most-billed Medicaid procedure code, with $39.4M in payments across 41K claims from 2018–2024. The national median cost per claim is $858.80.
Total Paid
$39.4M
0.00% of all spending
Total Claims
41K
Providers
127
Avg Cost/Claim
$955
National Cost Distribution
How much do providers bill per claim for J2777? Based on 123 providers billing this code nationally.
Median
$858.80
Average
$906.85
Std Dev
$497.02
Max
$2,901.45
Percentile Distribution (Cost per Claim)
50% of providers bill between $519.96 and $1,175.71 per claim for this code.
90% bill between $375.97 and $1,499.84.
Top 1% bill above $2,485.84.
About This Procedure
HCPCS code J2777 was billed by 127 providers across 41K claims, totaling $39.4M in Medicaid payments from 2018–2024. This code was used for 31K 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
$858.80
Providers Billing
123
National Spending
$39.4M
Avg/Median Ratio
1.06×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J2777
| # | Provider | Total Paid |
|---|---|---|
| 1 | Alivia Specialty Llc Guaynabo, PR · Pharmacy Specialty Pharmacy | $5.7M |
| 2 | 1073970687 | $2.4M |
| 3 | 1467429647 | $2.2M |
| 4 | 1093748071 | $2.1M |
| 5 | 1720203862 | $1.6M |
| 6 | 1174557805 | $1.5M |
| 7 | 1770539702 | $1.3M |
| 8 | 1518030568 | $1.2M |
| 9 | 1003934340 | $1.1M |
| 10 | 1023199734 | $1.0M |
| 11 | 1477532174 | $988K |
| 12 | 1336389295 | $971K |
| 13 | 1134246853 | $850K |
| 14 | 1376574707 | $678K |
| 15 | 1285812123 | $636K |
| 16 | 1104868520 | $576K |
| 17 | 1023755626 | $520K |
| 18 | 1861626806 | $505K |
| 19 | 1457323545 | $503K |
| 20 | 1467557280 | $497K |
Showing top 20 of 127 providers billing this code