J7351
HCPCS Procedure Code
HCPCS code J7351 is the #5,796 most-billed Medicaid procedure code, with $136K in payments across 414 claims from 2018–2024. The national median cost per claim is $386.60.
Total Paid
$136K
0.00% of all spending
Total Claims
414
Providers
3
Avg Cost/Claim
$329
National Cost Distribution
How much do providers bill per claim for J7351? Based on 2 providers billing this code nationally.
Median
$386.60
Average
$386.60
Std Dev
$168.07
Max
$505.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $327.18 and $446.02 per claim for this code.
90% bill between $291.52 and $481.67.
Top 1% bill above $503.06.
About This Procedure
HCPCS code J7351 was billed by 3 providers across 414 claims, totaling $136K in Medicaid payments from 2018–2024. This code was used for 261 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
$386.60
Providers Billing
2
National Spending
$136K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.