J2778
HCPCS Procedure Code
HCPCS code J2778 is the #934 most-billed Medicaid procedure code, with $56.8M in payments across 122K claims from 2018–2024. The national median cost per claim is $403.28. Costs vary widely — the 90th percentile is $846.90 per claim, 2.1× the median.
Total Paid
$56.8M
0.01% of all spending
Total Claims
122K
Providers
147
Avg Cost/Claim
$465
National Cost Distribution
How much do providers bill per claim for J2778? Based on 144 providers billing this code nationally.
Median
$403.28
Average
$474.24
Std Dev
$322.14
Max
$1,868.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $269.60 and $648.87 per claim for this code.
90% bill between $114.43 and $846.90.
Top 1% bill above $1,692.92.
About This Procedure
HCPCS code J2778 was billed by 147 providers across 122K claims, totaling $56.8M in Medicaid payments from 2018–2024. This code was used for 97K 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
$403.28
Providers Billing
144
National Spending
$56.8M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J2778
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1215003793 | $4.9M |
| 2 | 1891783965 | $4.9M |
| 3 | 1760541569 | $4.5M |
| 4 | 1649563636 | $3.1M |
| 5 | 1225094600 | $2.4M |
| 6 | 1386737617 | $2.3M |
| 7 | 1255322806 | $2.1M |
| 8 | 1316329733 | $1.7M |
| 9 | 1477532174 | $1.7M |
| 10 | 1275644049 | $1.6M |
| 11 | 1467429647 | $1.5M |
| 12 | 1093748071 | $1.3M |
| 13 | 1497876502 | $1.1M |
| 14 | 1376815605 | $1.1M |
| 15 | 1790052603 | $1.0M |
| 16 | 1245211333 | $995K |
| 17 | 1316022551 | $963K |
| 18 | 1083757322 | $762K |
| 19 | 1104868520 | $734K |
| 20 | 1336389295 | $721K |
Showing top 20 of 147 providers billing this code