J7060
HCPCS Procedure Code
HCPCS code J7060 is the #2,629 most-billed Medicaid procedure code, with $4.5M in payments across 758K claims from 2018–2024. The national median cost per claim is $1.41. Costs vary widely — the 90th percentile is $13.71 per claim, 9.7× the median.
Total Paid
$4.5M
0.00% of all spending
Total Claims
758K
Providers
571
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for J7060? Based on 458 providers billing this code nationally.
Median
$1.41
Average
$9.01
Std Dev
$36.19
Max
$477.55
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.25 and $4.80 per claim for this code.
90% bill between $0.04 and $13.71.
Top 1% bill above $154.69.
About This Procedure
HCPCS code J7060 was billed by 571 providers across 758K claims, totaling $4.5M in Medicaid payments from 2018–2024. This code was used for 409K 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
$1.41
Providers Billing
458
National Spending
$4.5M
Avg/Median Ratio
6.39×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J7060
| # | Provider | Total Paid |
|---|---|---|
| 1 | Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children | $411K |
| 2 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $387K |
| 3 | 1104856095 | $385K |
| 4 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $360K |
| 5 | 1184606600 | $224K |
| 6 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $214K |
| 7 | 1548205818 | $198K |
| 8 | 1457389249 | $139K |
| 9 | 1679660617 | $128K |
| 10 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $108K |
| 11 | Lee Memorial Health System Ft Myers, FL · General Acute Care Hospital | $100K |
| 12 | 1720537178 | $77K |
| 13 | Keck Medical Center Of Usc Los Angeles, CA · General Acute Care Hospital | $71K |
| 14 | 1477584993 | $62K |
| 15 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $59K |
| 16 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $59K |
| 17 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $57K |
| 18 | 1912964768 | $52K |
| 19 | 1558313213 | $51K |
| 20 | 1043293608 | $43K |
Showing top 20 of 571 providers billing this code