J7620
HCPCS Procedure Code
HCPCS code J7620 is the #2,894 most-billed Medicaid procedure code, with $3.1M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $0.14. Costs vary widely — the 90th percentile is $4.03 per claim, 28.8× the median.
Total Paid
$3.1M
0.00% of all spending
Total Claims
1.1M
Providers
1,367
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for J7620? Based on 1,019 providers billing this code nationally.
Median
$0.14
Average
$2.78
Std Dev
$15.77
Max
$279.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.05 and $1.17 per claim for this code.
90% bill between $0.01 and $4.03.
Top 1% bill above $46.68.
About This Procedure
HCPCS code J7620 was billed by 1,367 providers across 1.1M claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 914K 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
1,019
National Spending
$3.1M
Avg/Median Ratio
19.86×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J7620
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780748939 | $708K |
| 2 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $313K |
| 3 | 1275697435 | $305K |
| 4 | 1003970260 | $227K |
| 5 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $138K |
| 6 | 1114081270 | $134K |
| 7 | 1134698418 | $127K |
| 8 | 1912060740 | $104K |
| 9 | 1235139312 | $79K |
| 10 | 1912964768 | $74K |
| 11 | 1114943610 | $71K |
| 12 | 1104906569 | $64K |
| 13 | 1194790055 | $48K |
| 14 | 1407887003 | $45K |
| 15 | 1104812684 | $33K |
| 16 | 1730177668 | $28K |
| 17 | 1801821376 | $27K |
| 18 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $27K |
| 19 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $22K |
| 20 | 1619928017 | $21K |
Showing top 20 of 1,367 providers billing this code