J7198
HCPCS Procedure Code
HCPCS code J7198 is the #9,524 most-billed Medicaid procedure code, with $0 in payments across 38 claims from 2018–2024. The national median cost per claim is $0.00.
Total Paid
$0
0.00% of all spending
Total Claims
38
Providers
1
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for J7198? Based on 1 providers billing this code nationally.
Median
$0.00
Average
$0.00
Std Dev
—
Max
$0.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $0.00 per claim for this code.
90% bill between $0.00 and $0.00.
Top 1% bill above $0.00.
About This Procedure
HCPCS code J7198 was billed by 1 providers across 38 claims, totaling $0 in Medicaid payments from 2018–2024. This code was used for 37 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
$0.00
Providers Billing
1
National Spending
$0
Provider Coverage
We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.