J2760
HCPCS Procedure Code
HCPCS code J2760 is the #8,204 most-billed Medicaid procedure code, with $5K in payments across 484 claims from 2018–2024. The national median cost per claim is $8.60. Costs vary widely — the 90th percentile is $89.12 per claim, 10.4× the median.
Total Paid
$5K
0.00% of all spending
Total Claims
484
Providers
4
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for J2760? Based on 3 providers billing this code nationally.
Median
$8.60
Average
$40.65
Std Dev
$59.45
Max
$109.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.36 and $58.92 per claim for this code.
90% bill between $5.01 and $89.12.
Top 1% bill above $107.23.
About This Procedure
HCPCS code J2760 was billed by 4 providers across 484 claims, totaling $5K in Medicaid payments from 2018–2024. This code was used for 410 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
$8.60
Providers Billing
3
National Spending
$5K
Avg/Median Ratio
4.73×
Highly skewed — outlier-driven
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.