J7308
HCPCS Procedure Code
HCPCS code J7308 is the #5,672 most-billed Medicaid procedure code, with $157K in payments across 1,218 claims from 2018–2024. The national median cost per claim is $135.46. Costs vary widely — the 90th percentile is $330.84 per claim, 2.4× the median.
Total Paid
$157K
0.00% of all spending
Total Claims
1,218
Providers
4
Avg Cost/Claim
$129
National Cost Distribution
How much do providers bill per claim for J7308? Based on 3 providers billing this code nationally.
Median
$135.46
Average
$187.58
Std Dev
$172.07
Max
$379.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $91.53 and $257.57 per claim for this code.
90% bill between $65.17 and $330.84.
Top 1% bill above $374.80.
About This Procedure
HCPCS code J7308 was billed by 4 providers across 1,218 claims, totaling $157K in Medicaid payments from 2018–2024. This code was used for 939 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
$135.46
Providers Billing
3
National Spending
$157K
Avg/Median Ratio
1.38×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.