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

#6454 of 11K

J8670

HCPCS Procedure Code

HCPCS code J8670 is the #6,454 most-billed Medicaid procedure code, with $63K in payments across 17 claims from 2018–2024. The national median cost per claim is $3,728.47.

Total Paid

$63K

0.00% of all spending

Total Claims

17

Providers

1

Avg Cost/Claim

$4K

National Cost Distribution

How much do providers bill per claim for J8670? Based on 1 providers billing this code nationally.

Median

$3,728.47

Average

$3,728.47

Std Dev

Max

$3,728.47

Percentile Distribution (Cost per Claim)

p10
$3,728.47
p25
$3,728.47
Median
$3,728.47
p75
$3,728.47
p90
$3,728.47
p95
$3,728.47
p99
$3,728.47

50% of providers bill between $3,728.47 and $3,728.47 per claim for this code.

90% bill between $3,728.47 and $3,728.47.

Top 1% bill above $3,728.47.

About This Procedure

HCPCS code J8670 was billed by 1 providers across 17 claims, totaling $63K in Medicaid payments from 2018–2024. This code was used for 13 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

$3,728.47

Providers Billing

1

National Spending

$63K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.