J7615
HCPCS Procedure Code
HCPCS code J7615 is the #9,250 most-billed Medicaid procedure code, with $168 in payments across 1,069 claims from 2018–2024. The national median cost per claim is $2.74.
Total Paid
$168
0.00% of all spending
Total Claims
1,069
Providers
4
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for J7615? Based on 2 providers billing this code nationally.
Median
$2.74
Average
$2.74
Std Dev
$1.43
Max
$3.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.23 and $3.24 per claim for this code.
90% bill between $1.93 and $3.55.
Top 1% bill above $3.73.
About This Procedure
HCPCS code J7615 was billed by 4 providers across 1,069 claims, totaling $168 in Medicaid payments from 2018–2024. This code was used for 974 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
$2.74
Providers Billing
2
National Spending
$168
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.