J7613
Albuterol inhalation solution, concentrated, per milligram
Albuterol inhalation solution, concentrated, per milligram is the #2,877 most-billed Medicaid procedure code, with $3.2M in payments across 1.5M claims from 2018–2024. The national median cost per claim is $0.08. Costs vary widely — the 90th percentile is $2.08 per claim, 26.0× the median.
Total Paid
$3.2M
0.00% of all spending
Total Claims
1.5M
Providers
2,157
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for J7613? Based on 1,694 providers billing this code nationally.
Median
$0.08
Average
$1.76
Std Dev
$15.99
Max
$483.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.03 and $0.34 per claim for this code.
90% bill between $0.01 and $2.08.
Top 1% bill above $22.45.
About This Procedure
HCPCS code J7613 (Albuterol inhalation solution, concentrated, per milligram) was billed by 2,157 providers across 1.5M claims, totaling $3.2M in Medicaid payments from 2018–2024. This code was used for 1.3M 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
$0.08
Providers Billing
1,694
National Spending
$3.2M
Avg/Median Ratio
22.00×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J7613
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $711K |
| 2 | 1780748939 | $582K |
| 3 | 1275697435 | $275K |
| 4 | 1114081270 | $263K |
| 5 | 1003970260 | $202K |
| 6 | 1134698418 | $159K |
| 7 | 1235196510 | $87K |
| 8 | 1912060740 | $85K |
| 9 | 1871556217 | $83K |
| 10 | 1114943610 | $64K |
| 11 | 1104906569 | $55K |
| 12 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $31K |
| 13 | 1790782274 | $29K |
| 14 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $23K |
| 15 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $23K |
| 16 | Children's Hospital Washington, DC · General Acute Care Hospital Children | $22K |
| 17 | 1659425825 | $19K |
| 18 | 1730177668 | $19K |
| 19 | 1811097504 | $14K |
| 20 | 1578048096 | $14K |
Showing top 20 of 2,157 providers billing this code