J7140
HCPCS Procedure Code
HCPCS code J7140 is the #8,378 most-billed Medicaid procedure code, with $3K in payments across 138 claims from 2018–2024. The national median cost per claim is $6.73. Costs vary widely — the 90th percentile is $25.51 per claim, 3.8× the median.
Total Paid
$3K
0.00% of all spending
Total Claims
138
Providers
3
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for J7140? Based on 3 providers billing this code nationally.
Median
$6.73
Average
$14.34
Std Dev
$13.74
Max
$30.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.41 and $18.47 per claim for this code.
90% bill between $6.22 and $25.51.
Top 1% bill above $29.74.
About This Procedure
HCPCS code J7140 was billed by 3 providers across 138 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 116 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
$6.73
Providers Billing
3
National Spending
$3K
Avg/Median Ratio
2.13×
Highly skewed — outlier-driven
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.