J7637
HCPCS Procedure Code
HCPCS code J7637 is the #9,409 most-billed Medicaid procedure code, with $24 in payments across 452 claims from 2018–2024. The national median cost per claim is $0.09.
Total Paid
$24
0.00% of all spending
Total Claims
452
Providers
5
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for J7637? Based on 1 providers billing this code nationally.
Median
$0.09
Average
$0.09
Std Dev
—
Max
$0.09
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.09 and $0.09 per claim for this code.
90% bill between $0.09 and $0.09.
Top 1% bill above $0.09.
About This Procedure
HCPCS code J7637 was billed by 5 providers across 452 claims, totaling $24 in Medicaid payments from 2018–2024. This code was used for 406 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
$0.09
Providers Billing
1
National Spending
$24
Avg/Median Ratio
1.00×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J7637
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1114009339 | $24 |
| 2 | 1104384205 | $0 |
| 3 | 1659827996 | $0 |
| 4 | 1043315286 | $0 |
| 5 | 1366687964 | $0 |
Showing top 5 of 5 providers billing this code