J2720
HCPCS Procedure Code
HCPCS code J2720 is the #7,306 most-billed Medicaid procedure code, with $22K in payments across 5K claims from 2018–2024. The national median cost per claim is $1.57. Costs vary widely — the 90th percentile is $12.52 per claim, 8.0× the median.
Total Paid
$22K
0.00% of all spending
Total Claims
5K
Providers
53
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for J2720? Based on 25 providers billing this code nationally.
Median
$1.57
Average
$4.22
Std Dev
$5.63
Max
$19.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.60 and $5.94 per claim for this code.
90% bill between $0.07 and $12.52.
Top 1% bill above $19.31.
About This Procedure
HCPCS code J2720 was billed by 53 providers across 5K claims, totaling $22K in Medicaid payments from 2018–2024. This code was used for 4K 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
$1.57
Providers Billing
25
National Spending
$22K
Avg/Median Ratio
2.69×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2720
| # | Provider | Total Paid |
|---|---|---|
| 1 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $11K |
| 2 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $4K |
| 3 | 1558575746 | $2K |
| 4 | 1740488386 | $972 |
| 5 | 1417952748 | $852 |
| 6 | 1891938122 | $798 |
| 7 | Providence Health & Services Washington Anchorage, AK · General Acute Care Hospital | $626 |
| 8 | 1427055821 | $421 |
| 9 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $286 |
| 10 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $227 |
| 11 | Mainehealth Portland, ME · Emergency Medicine | $178 |
| 12 | 1447415104 | $129 |
| 13 | 1538244918 | $113 |
| 14 | 1235134024 | $100 |
| 15 | Community Hospital Of San Bernardino San Bernardino, CA · General Acute Care Hospital | $76 |
| 16 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $64 |
| 17 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $31 |
| 18 | 1306914213 | $20 |
| 19 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $18 |
| 20 | Bethesda Hospital Inc Cincinnati, OH · General Acute Care Hospital | $15 |
Showing top 20 of 53 providers billing this code