J3315
Injection, triptorelin pamoate, three point seven five milligrams
Injection, triptorelin pamoate, three point seven five milligrams is the #4,056 most-billed Medicaid procedure code, with $889K in payments across 1K claims from 2018–2024. The national median cost per claim is $432.41. Costs vary widely — the 90th percentile is $2,369.29 per claim, 5.5× the median.
Total Paid
$889K
0.00% of all spending
Total Claims
1K
Providers
7
Avg Cost/Claim
$819
National Cost Distribution
How much do providers bill per claim for J3315? Based on 7 providers billing this code nationally.
Median
$432.41
Average
$1,058.04
Std Dev
$1,614.74
Max
$4,684.26
Percentile Distribution (Cost per Claim)
50% of providers bill between $343.04 and $733.71 per claim for this code.
90% bill between $234.77 and $2,369.29.
Top 1% bill above $4,452.76.
About This Procedure
HCPCS code J3315 (Injection, triptorelin pamoate, three point seven five milligrams) was billed by 7 providers across 1K claims, totaling $889K in Medicaid payments from 2018–2024. This code was used for 1K 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
$432.41
Providers Billing
7
National Spending
$889K
Avg/Median Ratio
2.45×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J3315
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1003846650 | $506K |
| 2 | 1538326764 | $272K |
| 3 | 1164466025 | $57K |
| 4 | 1609873686 | $20K |
| 5 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $19K |
| 6 | 1114045234 | $8K |
| 7 | 1467936195 | $6K |
Showing top 7 of 7 providers billing this code