J7674
HCPCS Procedure Code
HCPCS code J7674 is the #9,014 most-billed Medicaid procedure code, with $550 in payments across 109 claims from 2018–2024. The national median cost per claim is $12.47.
Total Paid
$550
0.00% of all spending
Total Claims
109
Providers
4
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for J7674? Based on 2 providers billing this code nationally.
Median
$12.47
Average
$12.47
Std Dev
$1.55
Max
$13.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.92 and $13.02 per claim for this code.
90% bill between $11.59 and $13.35.
Top 1% bill above $13.54.
About This Procedure
HCPCS code J7674 was billed by 4 providers across 109 claims, totaling $550 in Medicaid payments from 2018–2024. This code was used for 93 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
$12.47
Providers Billing
2
National Spending
$550
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.