J7614
HCPCS Procedure Code
HCPCS code J7614 is the #7,649 most-billed Medicaid procedure code, with $13K in payments across 8,124 claims from 2018–2024. The national median cost per claim is $0.14. Costs vary widely — the 90th percentile is $6.25 per claim, 44.6× the median.
Total Paid
$13K
0.00% of all spending
Total Claims
8,124
Providers
78
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for J7614? Based on 56 providers billing this code nationally.
Median
$0.14
Average
$1.59
Std Dev
$3.02
Max
$11.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.05 and $1.20 per claim for this code.
90% bill between $0.02 and $6.25.
Top 1% bill above $11.57.
About This Procedure
HCPCS code J7614 was billed by 78 providers across 8,124 claims, totaling $13K in Medicaid payments from 2018–2024. This code was used for 6,499 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
$0.14
Providers Billing
56
National Spending
$13K
Avg/Median Ratio
11.36×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J7614
| # | Provider | Total Paid |
|---|---|---|
| 1 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $5K |
| 2 | 1740208081 | $1K |
| 3 | 1649727447 | $993 |
| 4 | 1518068014 | $975 |
| 5 | 1639263189 | $840 |
| 6 | 1588668842 | $781 |
| 7 | 1043293608 | $610 |
| 8 | 1508859323 | $593 |
| 9 | 1619925633 | $327 |
| 10 | Cook Children's Medical Center Fort Worth, TX · General Acute Care Hospital Children | $229 |
| 11 | Harcart Health Holdings Llc Rockville, MD · Emergency Medicine | $217 |
| 12 | 1972823987 | $150 |
| 13 | 1427616002 | $77 |
| 14 | 1902333115 | $47 |
| 15 | 1326224353 | $36 |
| 16 | 1437259694 | $34 |
| 17 | New York City Health And Hospitals Corporation New York, NY · Internal Medicine | $31 |
| 18 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $26 |
| 19 | 1477559433 | $26 |
| 20 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $21 |
Showing top 20 of 78 providers billing this code