Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#10841 of 11K

J7616

HCPCS Procedure Code

HCPCS code J7616 is the #10,841 most-billed Medicaid procedure code, with $0 in payments across 31 claims from 2018–2024.

Total Paid

$0

0.00% of all spending

Total Claims

31

Providers

1

Avg Cost/Claim

$0

About This Procedure

HCPCS code J7616 was billed by 1 providers across 31 claims, totaling $0 in Medicaid payments from 2018–2024. This code was used for 15 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

Providers Billing

1

National Spending

$0