Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7374 of 11K

J2770

HCPCS Procedure Code

HCPCS code J2770 is the #7,374 most-billed Medicaid procedure code, with $19K in payments across 716 claims from 2018–2024. The national median cost per claim is $25.49. Costs vary widely — the 90th percentile is $60.71 per claim, 2.4× the median.

Total Paid

$19K

0.00% of all spending

Total Claims

716

Providers

7

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for J2770? Based on 6 providers billing this code nationally.

Median

$25.49

Average

$30.20

Std Dev

$30.10

Max

$84.14

Percentile Distribution (Cost per Claim)

p10
$4.41
p25
$10.69
Median
$25.49
p75
$36.56
p90
$60.71
p95
$72.43
p99
$81.80

50% of providers bill between $10.69 and $36.56 per claim for this code.

90% bill between $4.41 and $60.71.

Top 1% bill above $81.80.

About This Procedure

HCPCS code J2770 was billed by 7 providers across 716 claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 522 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

$25.49

Providers Billing

6

National Spending

$19K

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for J2770

#ProviderTotal Paid
11598717480$9K
21073606901$6K
31770693939$2K
41154868693$1K
51710913462$564
6Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$10
71275902124$0

Showing top 7 of 7 providers billing this code