Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4849 of 11K

J7682

HCPCS Procedure Code

HCPCS code J7682 is the #4,849 most-billed Medicaid procedure code, with $377K in payments across 899 claims from 2018–2024. The national median cost per claim is $326.10.

Total Paid

$377K

0.00% of all spending

Total Claims

899

Providers

3

Avg Cost/Claim

$419

National Cost Distribution

How much do providers bill per claim for J7682? Based on 3 providers billing this code nationally.

Median

$326.10

Average

$301.47

Std Dev

$202.12

Max

$490.16

Percentile Distribution (Cost per Claim)

p10
$135.75
p25
$207.13
Median
$326.10
p75
$408.13
p90
$457.35
p95
$473.75
p99
$486.88

50% of providers bill between $207.13 and $408.13 per claim for this code.

90% bill between $135.75 and $457.35.

Top 1% bill above $486.88.

About This Procedure

HCPCS code J7682 was billed by 3 providers across 899 claims, totaling $377K in Medicaid payments from 2018–2024. This code was used for 699 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

$326.10

Providers Billing

3

National Spending

$377K

Avg/Median Ratio

0.92×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.