J7354
HCPCS Procedure Code
HCPCS code J7354 is the #7,622 most-billed Medicaid procedure code, with $13K in payments across 25 claims from 2018–2024. The national median cost per claim is $530.39.
Total Paid
$13K
0.00% of all spending
Total Claims
25
Providers
2
Avg Cost/Claim
$525
National Cost Distribution
How much do providers bill per claim for J7354? Based on 2 providers billing this code nationally.
Median
$530.39
Average
$530.39
Std Dev
$202.38
Max
$673.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $458.84 and $601.94 per claim for this code.
90% bill between $415.91 and $644.87.
Top 1% bill above $670.63.
About This Procedure
HCPCS code J7354 was billed by 2 providers across 25 claims, totaling $13K in Medicaid payments from 2018–2024. This code was used for 25 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
$530.39
Providers Billing
2
National Spending
$13K
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.