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

#7738 of 11K

J7508

HCPCS Procedure Code

HCPCS code J7508 is the #7,738 most-billed Medicaid procedure code, with $11K in payments across 327 claims from 2018–2024. The national median cost per claim is $47.17.

Total Paid

$11K

0.00% of all spending

Total Claims

327

Providers

3

Avg Cost/Claim

$33

National Cost Distribution

How much do providers bill per claim for J7508? Based on 2 providers billing this code nationally.

Median

$47.17

Average

$47.17

Std Dev

$38.23

Max

$74.21

Percentile Distribution (Cost per Claim)

p10
$25.55
p25
$33.66
Median
$47.17
p75
$60.69
p90
$68.80
p95
$71.50
p99
$73.66

50% of providers bill between $33.66 and $60.69 per claim for this code.

90% bill between $25.55 and $68.80.

Top 1% bill above $73.66.

About This Procedure

HCPCS code J7508 was billed by 3 providers across 327 claims, totaling $11K in Medicaid payments from 2018–2024. This code was used for 216 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

$47.17

Providers Billing

2

National Spending

$11K

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.