J7611
Albuterol inhalation solution, non-concentrated, per milligram
Albuterol inhalation solution, non-concentrated, per milligram is the #3,833 most-billed Medicaid procedure code, with $1.1M in payments across 211K claims from 2018–2024. The national median cost per claim is $0.26. Costs vary widely — the 90th percentile is $4.23 per claim, 16.3× the median.
Total Paid
$1.1M
0.00% of all spending
Total Claims
211K
Providers
396
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for J7611? Based on 294 providers billing this code nationally.
Median
$0.26
Average
$6.31
Std Dev
$37.49
Max
$507.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.12 and $0.82 per claim for this code.
90% bill between $0.02 and $4.23.
Top 1% bill above $147.50.
About This Procedure
HCPCS code J7611 (Albuterol inhalation solution, non-concentrated, per milligram) was billed by 396 providers across 211K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 175K 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
$0.26
Providers Billing
294
National Spending
$1.1M
Avg/Median Ratio
24.27×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J7611
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Nemours Foundation Orlando, FL · General Acute Care Hospital Children | $484K |
| 2 | Cook Children's Medical Center Fort Worth, TX · General Acute Care Hospital Children | $143K |
| 3 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $127K |
| 4 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $65K |
| 5 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $50K |
| 6 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $25K |
| 7 | 1487699047 | $23K |
| 8 | 1972503647 | $17K |
| 9 | 1801821376 | $15K |
| 10 | 1215903018 | $14K |
| 11 | 1346297843 | $9K |
| 12 | 1235196510 | $9K |
| 13 | 1811946734 | $7K |
| 14 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $7K |
| 15 | Kern County Hospital Authority Bakersfield, CA · General Acute Care Hospital | $7K |
| 16 | 1104906569 | $6K |
| 17 | The Nemours Foundation Wilmington, DE · General Acute Care Hospital Children | $5K |
| 18 | 1467808659 | $5K |
| 19 | Alameda Health System Oakland, CA · General Acute Care Hospital | $5K |
| 20 | 1821147786 | $4K |
Showing top 20 of 396 providers billing this code