J7645
HCPCS Procedure Code
HCPCS code J7645 is the #9,297 most-billed Medicaid procedure code, with $112 in payments across 221 claims from 2018–2024. The national median cost per claim is $2.01.
Total Paid
$112
0.00% of all spending
Total Claims
221
Providers
6
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for J7645? Based on 2 providers billing this code nationally.
Median
$2.01
Average
$2.01
Std Dev
$2.79
Max
$3.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.02 and $3.00 per claim for this code.
90% bill between $0.43 and $3.59.
Top 1% bill above $3.95.
About This Procedure
HCPCS code J7645 was billed by 6 providers across 221 claims, totaling $112 in Medicaid payments from 2018–2024. This code was used for 202 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
$2.01
Providers Billing
2
National Spending
$112
Avg/Median Ratio
1.00×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J7645
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1043397797 | $112 |
| 2 | 1811957442 | $0 |
| 3 | 1184016552 | $0 |
| 4 | 1679529051 | $0 |
| 5 | 1598761355 | $0 |
| 6 | Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health | $0 |
Showing top 6 of 6 providers billing this code