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

#6673 of 11K

J2787

HCPCS Procedure Code

HCPCS code J2787 is the #6,673 most-billed Medicaid procedure code, with $49K in payments across 43 claims from 2018–2024. The national median cost per claim is $1,808.10.

Total Paid

$49K

0.00% of all spending

Total Claims

43

Providers

2

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for J2787? Based on 1 providers billing this code nationally.

Median

$1,808.10

Average

$1,808.10

Std Dev

Max

$1,808.10

Percentile Distribution (Cost per Claim)

p10
$1,808.10
p25
$1,808.10
Median
$1,808.10
p75
$1,808.10
p90
$1,808.10
p95
$1,808.10
p99
$1,808.10

50% of providers bill between $1,808.10 and $1,808.10 per claim for this code.

90% bill between $1,808.10 and $1,808.10.

Top 1% bill above $1,808.10.

About This Procedure

HCPCS code J2787 was billed by 2 providers across 43 claims, totaling $49K in Medicaid payments from 2018–2024. This code was used for 40 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

$1,808.10

Providers Billing

1

National Spending

$49K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.