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

#1022 of 11K

J7120

Ringer's lactate infusion, up to 1000 cc

Ringer's lactate infusion, up to 1000 cc is the #1,022 most-billed Medicaid procedure code, with $47.4M in payments across 8.7M claims from 2018–2024. The national median cost per claim is $1.51. Costs vary widely — the 90th percentile is $18.05 per claim, 12.0× the median.

Total Paid

$47.4M

0.00% of all spending

Total Claims

8.7M

Providers

2K

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for J7120? Based on 2K providers billing this code nationally.

Median

$1.51

Average

$9.05

Std Dev

$31.91

Max

$724.07

Percentile Distribution (Cost per Claim)

p10
$0.02
p25
$0.16
Median
$1.51
p75
$6.39
p90
$18.05
p95
$35.28
p99
$135.06

50% of providers bill between $0.16 and $6.39 per claim for this code.

90% bill between $0.02 and $18.05.

Top 1% bill above $135.06.

About This Procedure

HCPCS code J7120 (Ringer's lactate infusion, up to 1000 cc) was billed by 2K providers across 8.7M claims, totaling $47.4M in Medicaid payments from 2018–2024. This code was used for 7.1M 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

$1.51

Providers Billing

2K

National Spending

$47.4M

Avg/Median Ratio

5.99×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for J7120

#ProviderTotal Paid
1Spartanburg Medical Center

Spartanburg, SC · Ambulance

$5.7M
21417919531$3.2M
3West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$1.6M
41174500458$1.5M
51477584993$1.3M
61104856095$1.1M
7County Of Ventura

Ventura, CA · Clinic/Center, Emergency Care

$1.0M
81184606600$821K
91205307378$650K
10Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$639K
11Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$610K
121417064205$572K
131437122009$497K
141982800397$479K
15Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$414K
16Palomar Health

Escondido, CA · General Acute Care Hospital

$394K
171629015698$392K
181366436073$380K
191073518007$362K
201699704254$357K

Showing top 20 of 2K providers billing this code

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