#2841 of 11K

J7321

Hyaluronan injection for knee joint supplement

Hyaluronan injection for knee joint supplement is the #2,841 most-billed Medicaid procedure code, with $3.4M in payments across 100K claims from 2018–2024. The national median cost per claim is $24.72. Costs vary widely — the 90th percentile is $83.14 per claim, 3.4× the median.

Total Paid

$3.4M

0.00% of all spending

Total Claims

100K

Providers

182

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for J7321? Based on 176 providers billing this code nationally.

Median

$24.72

Average

$54.70

Std Dev

$110.26

Max

$833.37

Percentile Distribution (Cost per Claim)

p10

$7.67

p25

$14.77

Median

$24.72

p75

$54.53

p90

$83.14

p95

$154.47

p99

$660.71

50% of providers bill between $14.77 and $54.53 per claim for this code.

90% bill between $7.67 and $83.14.

Top 1% bill above $660.71.

About This Procedure

HCPCS code J7321 (Hyaluronan injection for knee joint supplement) was billed by 182 providers across 100K claims, totaling $3.4M in Medicaid payments from 2018–2024. This code was used for 39K 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

$24.72

Providers Billing

176

National Spending

$3.4M

Avg/Median Ratio

2.21×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for J7321

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1285798033	$495K	$71.60	2.9× median	Above 75th
2	1720364532	$199K	$833.37	33.7× median	Top 1%
3	1437146743	$135K	$15.09	0.6× median	Below Median
4	1215930490	$130K	$82.04	3.3× median	Above 75th
5	1427230788	$115K	$61.28	2.5× median	Above 75th
6	1871531426	$113K	$45.57	1.8× median	Above Median
7	Accredo Health Group Inc Memphis, TN · Pharmacy	$107K	$683.99	27.7× median	Top 1%
8	1437555299	$77K	$70.43	2.8× median	Above 75th
9	1205919313	$67K	$26.22	1.1× median	Above Median
10	1164522165	$64K	$171.13	6.9× median	Top 10%
11	1740228469	$61K	$69.32	2.8× median	Above 75th
12	1629051529	$60K	$78.43	3.2× median	Above 75th
13	1457670226	$59K	$49.18	2.0× median	Above Median
14	1134100134	$56K	$366.54	14.8× median	Top 10%
15	1962438564	$51K	$57.21	2.3× median	Above 75th
16	1639330343	$45K	$20.93	0.8× median	Below Median
17	1013995836	$43K	$15.63	0.6× median	Below Median
18	1770624702	$43K	$35.19	1.4× median	Above Median
19	1407821812	$43K	$42.48	1.7× median	Above Median
20	1902877129	$43K	$16.26	0.7× median	Below Median

Showing top 20 of 182 providers billing this code

Related Procedures

J7323$7.0M J7324$2.9M J7320$2.7M J7325Synvisc or synvisc-one injection for joint supplementation$2.1M J7318$1.7M

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