J7326
HCPCS Procedure Code
HCPCS code J7326 is the #3,494 most-billed Medicaid procedure code, with $1.6M in payments across 1K claims from 2018–2024. The national median cost per claim is $997.91.
Total Paid
$1.6M
0.00% of all spending
Total Claims
1K
Providers
9
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for J7326? Based on 6 providers billing this code nationally.
Median
$997.91
Average
$911.68
Std Dev
$474.08
Max
$1,325.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $827.20 and $1,249.69 per claim for this code.
90% bill between $427.98 and $1,309.16.
Top 1% bill above $1,324.14.
About This Procedure
HCPCS code J7326 was billed by 9 providers across 1K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 1K 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
$997.91
Providers Billing
6
National Spending
$1.6M
Avg/Median Ratio
0.91×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J7326
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1932400397 | $813K |
| 2 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $631K |
| 3 | 1477567394 | $85K |
| 4 | 1831418078 | $45K |
| 5 | 1134100134 | $31K |
| 6 | 1407805500 | $3K |
| 7 | 1720395205 | $0 |
| 8 | 1396725081 | $0 |
| 9 | 1235292574 | $0 |
Showing top 9 of 9 providers billing this code