J0703
HCPCS Procedure Code
HCPCS code J0703 is the #8,348 most-billed Medicaid procedure code, with $4K in payments across 1K claims from 2018–2024. The national median cost per claim is $2.20. Costs vary widely — the 90th percentile is $4.90 per claim, 2.2× the median.
Total Paid
$4K
0.00% of all spending
Total Claims
1K
Providers
6
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for J0703? Based on 6 providers billing this code nationally.
Median
$2.20
Average
$2.77
Std Dev
$1.85
Max
$5.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.07 and $3.65 per claim for this code.
90% bill between $1.22 and $4.90.
Top 1% bill above $5.59.
About This Procedure
HCPCS code J0703 was billed by 6 providers across 1K claims, totaling $4K in Medicaid payments from 2018–2024. This code was used for 472 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
$2.20
Providers Billing
6
National Spending
$4K
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J0703
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $2K |
| 2 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $867 |
| 3 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $248 |
| 4 | Atlanticare Regional Medical Center Pomona, NJ · General Acute Care Hospital | $191 |
| 5 | 1972535052 | $105 |
| 6 | 1710913462 | $42 |
Showing top 6 of 6 providers billing this code