J7515
HCPCS Procedure Code
HCPCS code J7515 is the #6,004 most-billed Medicaid procedure code, with $108K in payments across 6K claims from 2018–2024. The national median cost per claim is $16.46.
Total Paid
$108K
0.00% of all spending
Total Claims
6K
Providers
18
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for J7515? Based on 16 providers billing this code nationally.
Median
$16.46
Average
$16.43
Std Dev
$9.88
Max
$39.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.52 and $22.04 per claim for this code.
90% bill between $4.01 and $25.74.
Top 1% bill above $37.42.
About This Procedure
HCPCS code J7515 was billed by 18 providers across 6K claims, totaling $108K in Medicaid payments from 2018–2024. This code was used for 5K 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
$16.46
Providers Billing
16
National Spending
$108K
Avg/Median Ratio
1.00×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J7515
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1881601896 | $22K |
| 2 | 1396128864 | $20K |
| 3 | 1134582398 | $19K |
| 4 | 1932135068 | $10K |
| 5 | 1174689715 | $10K |
| 6 | 1427080415 | $10K |
| 7 | Procare Pharmacy Direct, Llc. Monroeville, PA · Pharmacy, Community/Retail Pharmacy | $6K |
| 8 | 1770586349 | $3K |
| 9 | 1730183385 | $1K |
| 10 | 1619946746 | $1K |
| 11 | 1588936850 | $943 |
| 12 | 1821329731 | $914 |
| 13 | 1346242542 | $733 |
| 14 | 1285091330 | $523 |
| 15 | 1013913458 | $474 |
| 16 | 1417901646 | $458 |
| 17 | 1225230840 | $0 |
| 18 | 1801231642 | $0 |
Showing top 18 of 18 providers billing this code