J0706
HCPCS Procedure Code
HCPCS code J0706 is the #8,770 most-billed Medicaid procedure code, with $1K in payments across 1K claims from 2018–2024. The national median cost per claim is $2.26. Costs vary widely — the 90th percentile is $12.71 per claim, 5.6× the median.
Total Paid
$1K
0.00% of all spending
Total Claims
1K
Providers
14
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for J0706? Based on 8 providers billing this code nationally.
Median
$2.26
Average
$5.32
Std Dev
$6.12
Max
$17.07
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.97 and $8.88 per claim for this code.
90% bill between $0.54 and $12.71.
Top 1% bill above $16.64.
About This Procedure
HCPCS code J0706 was billed by 14 providers across 1K claims, totaling $1K in Medicaid payments from 2018–2024. This code was used for 933 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
$2.26
Providers Billing
8
National Spending
$1K
Avg/Median Ratio
2.35×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J0706
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1568825545 | $512 |
| 2 | 1811922347 | $173 |
| 3 | 1902844988 | $141 |
| 4 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $140 |
| 5 | 1982805271 | $132 |
| 6 | University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital | $104 |
| 7 | Saint Peter's University Hospital New Brunswick, NJ · General Acute Care Hospital | $14 |
| 8 | 1568647501 | $8 |
| 9 | Stamford Hospital Stamford, CT · Hospitalist | $0 |
| 10 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $0 |
| 11 | 1477902641 | $0 |
| 12 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $0 |
| 13 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $0 |
| 14 | 1134172000 | $0 |
Showing top 14 of 14 providers billing this code