Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7239 of 11K

J7502

HCPCS Procedure Code

HCPCS code J7502 is the #7,239 most-billed Medicaid procedure code, with $24K in payments across 841 claims from 2018–2024. The national median cost per claim is $28.30.

Total Paid

$24K

0.00% of all spending

Total Claims

841

Providers

7

Avg Cost/Claim

$28

National Cost Distribution

How much do providers bill per claim for J7502? Based on 7 providers billing this code nationally.

Median

$28.30

Average

$28.78

Std Dev

$12.89

Max

$53.65

Percentile Distribution (Cost per Claim)

p10
$18.00
p25
$25.65
Median
$28.30
p75
$29.01
p90
$38.98
p95
$46.31
p99
$52.18

50% of providers bill between $25.65 and $29.01 per claim for this code.

90% bill between $18.00 and $38.98.

Top 1% bill above $52.18.

About This Procedure

HCPCS code J7502 was billed by 7 providers across 841 claims, totaling $24K in Medicaid payments from 2018–2024. This code was used for 742 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

$28.30

Providers Billing

7

National Spending

$24K

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for J7502

#ProviderTotal Paid
11396128864$9K
21881601896$8K
31770586349$3K
41134582398$2K
51174689715$1K
61437253168$1K
71417901646$132

Showing top 7 of 7 providers billing this code