J7512
HCPCS Procedure Code
HCPCS code J7512 is the #3,014 most-billed Medicaid procedure code, with $2.8M in payments across 1.9M claims from 2018–2024. The national median cost per claim is $0.20. Costs vary widely — the 90th percentile is $2.48 per claim, 12.4× the median.
Total Paid
$2.8M
0.00% of all spending
Total Claims
1.9M
Providers
2K
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for J7512? Based on 1K providers billing this code nationally.
Median
$0.20
Average
$2.76
Std Dev
$18.27
Max
$337.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.03 and $0.79 per claim for this code.
90% bill between $0.01 and $2.48.
Top 1% bill above $49.99.
About This Procedure
HCPCS code J7512 was billed by 2K providers across 1.9M claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 1.5M 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
$0.20
Providers Billing
1K
National Spending
$2.8M
Avg/Median Ratio
13.80×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J7512
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1467560599 | $394K |
| 2 | 1972541498 | $347K |
| 3 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $234K |
| 4 | 1487694857 | $189K |
| 5 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $91K |
| 6 | 1457382483 | $86K |
| 7 | 1619080942 | $52K |
| 8 | 1225033020 | $48K |
| 9 | 1356389878 | $47K |
| 10 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $40K |
| 11 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $38K |
| 12 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $35K |
| 13 | 1194790055 | $35K |
| 14 | 1932135068 | $28K |
| 15 | 1639197395 | $27K |
| 16 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $26K |
| 17 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $24K |
| 18 | 1174689715 | $24K |
| 19 | 1013913458 | $20K |
| 20 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $19K |
Showing top 20 of 2K providers billing this code