J0179
Avelumab (Bavencio) injection, 10 mg
Avelumab (Bavencio) injection, 10 mg is the #7,601 most-billed Medicaid procedure code, with $14K in payments across 58 claims from 2018–2024. The national median cost per claim is $174.69.
Total Paid
$14K
0.00% of all spending
Total Claims
58
Providers
2
Avg Cost/Claim
$233
National Cost Distribution
How much do providers bill per claim for J0179? Based on 2 providers billing this code nationally.
Median
$174.69
Average
$174.69
Std Dev
$241.12
Max
$345.19
Percentile Distribution (Cost per Claim)
50% of providers bill between $89.44 and $259.94 per claim for this code.
90% bill between $38.29 and $311.09.
Top 1% bill above $341.78.
About This Procedure
HCPCS code J0179 (Avelumab (Bavencio) injection, 10 mg) was billed by 2 providers across 58 claims, totaling $14K in Medicaid payments from 2018–2024. This code was used for 51 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
$174.69
Providers Billing
2
National Spending
$14K
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.