J7210
HCPCS Procedure Code
HCPCS code J7210 is the #8,887 most-billed Medicaid procedure code, with $873 in payments across 40 claims from 2018–2024. The national median cost per claim is $21.81.
Total Paid
$873
0.00% of all spending
Total Claims
40
Providers
1
Avg Cost/Claim
$22
National Cost Distribution
How much do providers bill per claim for J7210? Based on 1 providers billing this code nationally.
Median
$21.81
Average
$21.81
Std Dev
—
Max
$21.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.81 and $21.81 per claim for this code.
90% bill between $21.81 and $21.81.
Top 1% bill above $21.81.
About This Procedure
HCPCS code J7210 was billed by 1 providers across 40 claims, totaling $873 in Medicaid payments from 2018–2024. This code was used for 38 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
$21.81
Providers Billing
1
National Spending
$873
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.