J7677
HCPCS Procedure Code
HCPCS code J7677 is the #2,569 most-billed Medicaid procedure code, with $4.9M in payments across 99K claims from 2018–2024. The national median cost per claim is $79.54. Costs vary widely — the 90th percentile is $201.85 per claim, 2.5× the median.
Total Paid
$4.9M
0.00% of all spending
Total Claims
99K
Providers
11
Avg Cost/Claim
$50
National Cost Distribution
How much do providers bill per claim for J7677? Based on 10 providers billing this code nationally.
Median
$79.54
Average
$93.76
Std Dev
$68.06
Max
$214.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $45.67 and $114.47 per claim for this code.
90% bill between $35.12 and $201.85.
Top 1% bill above $213.09.
About This Procedure
HCPCS code J7677 was billed by 11 providers across 99K claims, totaling $4.9M in Medicaid payments from 2018–2024. This code was used for 36K 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
$79.54
Providers Billing
10
National Spending
$4.9M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J7677
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780748939 | $2.0M |
| 2 | 1194725705 | $1.3M |
| 3 | 1003970260 | $948K |
| 4 | 1134698418 | $506K |
| 5 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $88K |
| 6 | 1114943610 | $75K |
| 7 | 1912060740 | $46K |
| 8 | 1669867396 | $15K |
| 9 | 1275697435 | $5K |
| 10 | 1730177668 | $2K |
| 11 | 1275937229 | $0 |
Showing top 11 of 11 providers billing this code