Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7077 of 11K

J3372

HCPCS Procedure Code

HCPCS code J3372 is the #7,077 most-billed Medicaid procedure code, with $29K in payments across 7K claims from 2018–2024. The national median cost per claim is $2.34. Costs vary widely — the 90th percentile is $14.63 per claim, 6.3× the median.

Total Paid

$29K

0.00% of all spending

Total Claims

7K

Providers

30

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for J3372? Based on 17 providers billing this code nationally.

Median

$2.34

Average

$5.55

Std Dev

$6.12

Max

$18.22

Percentile Distribution (Cost per Claim)

p10
$0.29
p25
$0.61
Median
$2.34
p75
$7.55
p90
$14.63
p95
$15.82
p99
$17.74

50% of providers bill between $0.61 and $7.55 per claim for this code.

90% bill between $0.29 and $14.63.

Top 1% bill above $17.74.

About This Procedure

HCPCS code J3372 was billed by 30 providers across 7K claims, totaling $29K in Medicaid payments from 2018–2024. This code was used for 4K 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

$2.34

Providers Billing

17

National Spending

$29K

Avg/Median Ratio

2.37×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for J3372

#ProviderTotal Paid
11548393127$11K
2Ohiohealth Corporation

Columbus, OH · General Acute Care Hospital

$8K
31417901091$2K
4The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$2K
51174549133$2K
61588663769$1K
7Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$977
8Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$540
9Dignity Health

San Bernardino, CA · General Acute Care Hospital

$416
10County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$343
111538131214$341
121053357244$133
13Carilion Medical Center

Roanoke, VA · General Acute Care Hospital

$86
141700950060$70
15Tucson Medical Center

Tucson, AZ · Clinic/Center, Hearing and Speech

$66
161902839673$55
17Hmh Hospitals Corporation

Neptune, NJ · General Acute Care Hospital

$1
181457715146$0
191982780094$0
201225041809$0

Showing top 20 of 30 providers billing this code