J7633
HCPCS Procedure Code
HCPCS code J7633 is the #8,685 most-billed Medicaid procedure code, with $2K in payments across 594 claims from 2018–2024. The national median cost per claim is $0.90. Costs vary widely — the 90th percentile is $12.77 per claim, 14.2× the median.
Total Paid
$2K
0.00% of all spending
Total Claims
594
Providers
4
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for J7633? Based on 4 providers billing this code nationally.
Median
$0.90
Average
$4.84
Std Dev
$8.51
Max
$17.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.18 and $5.57 per claim for this code.
90% bill between $0.07 and $12.77.
Top 1% bill above $17.09.
About This Procedure
HCPCS code J7633 was billed by 4 providers across 594 claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 496 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
$0.90
Providers Billing
4
National Spending
$2K
Avg/Median Ratio
5.38×
Highly skewed — outlier-driven
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.