J7510
Prednisolone oral, per five milligrams
Prednisolone oral, per five milligrams is the #4,840 most-billed Medicaid procedure code, with $380K in payments across 209K claims from 2018–2024. The national median cost per claim is $0.45. Costs vary widely — the 90th percentile is $5.61 per claim, 12.5× the median.
Total Paid
$380K
0.00% of all spending
Total Claims
209K
Providers
708
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for J7510? Based on 424 providers billing this code nationally.
Median
$0.45
Average
$4.35
Std Dev
$22.08
Max
$270.59
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.12 and $1.76 per claim for this code.
90% bill between $0.03 and $5.61.
Top 1% bill above $69.42.
About This Procedure
HCPCS code J7510 (Prednisolone oral, per five milligrams) was billed by 708 providers across 209K claims, totaling $380K in Medicaid payments from 2018–2024. This code was used for 187K 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
$0.45
Providers Billing
424
National Spending
$380K
Avg/Median Ratio
9.67×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J7510
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1194790055 | $55K |
| 2 | 1417952748 | $53K |
| 3 | Southern Baptist Hospital Of Florida Inc Jacksonville, FL · General Acute Care Hospital | $18K |
| 4 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $17K |
| 5 | The Nemours Foundation Orlando, FL · General Acute Care Hospital Children | $14K |
| 6 | New York City Health And Hospitals Corporation Jamaica, NY · General Acute Care Hospital | $12K |
| 7 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $12K |
| 8 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $11K |
| 9 | Lee Memorial Health System Ft Myers, FL · General Acute Care Hospital | $9K |
| 10 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $9K |
| 11 | 1639172869 | $8K |
| 12 | 1972503647 | $8K |
| 13 | 1467560599 | $8K |
| 14 | Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health | $7K |
| 15 | 1144228446 | $6K |
| 16 | 1710984299 | $5K |
| 17 | 1720037799 | $5K |
| 18 | 1811946734 | $5K |
| 19 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $5K |
| 20 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $5K |
Showing top 20 of 708 providers billing this code