J0702
HCPCS Procedure Code
HCPCS code J0702 is the #2,179 most-billed Medicaid procedure code, with $8.2M in payments across 907K claims from 2018–2024. The national median cost per claim is $7.64. Costs vary widely — the 90th percentile is $19.74 per claim, 2.6× the median.
Total Paid
$8.2M
0.00% of all spending
Total Claims
907K
Providers
2K
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for J0702? Based on 1K providers billing this code nationally.
Median
$7.64
Average
$9.76
Std Dev
$10.45
Max
$134.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.67 and $12.89 per claim for this code.
90% bill between $0.89 and $19.74.
Top 1% bill above $47.05.
About This Procedure
HCPCS code J0702 was billed by 2K providers across 907K claims, totaling $8.2M in Medicaid payments from 2018–2024. This code was used for 751K 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
$7.64
Providers Billing
1K
National Spending
$8.2M
Avg/Median Ratio
1.28×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J0702
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1891912432 | $336K |
| 2 | 1306280177 | $276K |
| 3 | 1578819850 | $132K |
| 4 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $126K |
| 5 | 1477559433 | $111K |
| 6 | 1356869119 | $98K |
| 7 | 1467733147 | $92K |
| 8 | 1184828451 | $90K |
| 9 | 1669560504 | $85K |
| 10 | 1336187475 | $77K |
| 11 | 1720083769 | $77K |
| 12 | 1215116231 | $71K |
| 13 | 1144519042 | $69K |
| 14 | Community Medical Associates, Inc. Louisville, KY · Clinical Neuropsychologist | $68K |
| 15 | 1609085810 | $67K |
| 16 | 1811188766 | $66K |
| 17 | Tufts Medical Center, Inc. Boston, MA · General Acute Care Hospital | $62K |
| 18 | 1740262625 | $62K |
| 19 | 1538400668 | $60K |
| 20 | 1750493979 | $60K |
Showing top 20 of 2K providers billing this code