J7644
HCPCS Procedure Code
HCPCS code J7644 is the #4,613 most-billed Medicaid procedure code, with $488K in payments across 372K claims from 2018–2024. The national median cost per claim is $0.20. Costs vary widely — the 90th percentile is $2.27 per claim, 11.3× the median.
Total Paid
$488K
0.00% of all spending
Total Claims
372K
Providers
408
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for J7644? Based on 282 providers billing this code nationally.
Median
$0.20
Average
$0.98
Std Dev
$2.65
Max
$21.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.09 and $0.65 per claim for this code.
90% bill between $0.01 and $2.27.
Top 1% bill above $16.62.
About This Procedure
HCPCS code J7644 was billed by 408 providers across 372K claims, totaling $488K in Medicaid payments from 2018–2024. This code was used for 311K 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
$0.20
Providers Billing
282
National Spending
$488K
Avg/Median Ratio
4.90×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J7644
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1114081270 | $77K |
| 2 | Cook Children's Medical Center Fort Worth, TX · General Acute Care Hospital Children | $56K |
| 3 | 1780748939 | $54K |
| 4 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $44K |
| 5 | Children's Hospital Corporation Boston, MA · Clinic/Center | $36K |
| 6 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $34K |
| 7 | 1003970260 | $25K |
| 8 | 1134698418 | $24K |
| 9 | 1275697435 | $20K |
| 10 | 1912060740 | $17K |
| 11 | 1114943610 | $11K |
| 12 | 1366496937 | $7K |
| 13 | 1346297843 | $7K |
| 14 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $6K |
| 15 | 1811946734 | $5K |
| 16 | 1912133315 | $5K |
| 17 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $5K |
| 18 | Children's Hospital Washington, DC · General Acute Care Hospital Children | $4K |
| 19 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $4K |
| 20 | 1922033547 | $2K |
Showing top 20 of 408 providers billing this code