J7327
HCPCS Procedure Code
HCPCS code J7327 is the #5,383 most-billed Medicaid procedure code, with $213K in payments across 617 claims from 2018–2024. The national median cost per claim is $362.41. Costs vary widely — the 90th percentile is $731.37 per claim, 2.0× the median.
Total Paid
$213K
0.00% of all spending
Total Claims
617
Providers
12
Avg Cost/Claim
$344
National Cost Distribution
How much do providers bill per claim for J7327? Based on 10 providers billing this code nationally.
Median
$362.41
Average
$422.00
Std Dev
$286.13
Max
$958.13
Percentile Distribution (Cost per Claim)
50% of providers bill between $165.92 and $631.95 per claim for this code.
90% bill between $151.92 and $731.37.
Top 1% bill above $935.45.
About This Procedure
HCPCS code J7327 was billed by 12 providers across 617 claims, totaling $213K in Medicaid payments from 2018–2024. This code was used for 530 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
$362.41
Providers Billing
10
National Spending
$213K
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J7327
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1679779649 | $63K |
| 2 | 1902092281 | $56K |
| 3 | 1083130587 | $36K |
| 4 | 1598725889 | $20K |
| 5 | Yale University New Haven, CT · Internal Medicine | $9K |
| 6 | 1013981554 | $8K |
| 7 | 1063690592 | $6K |
| 8 | 1851465603 | $5K |
| 9 | 1215113964 | $5K |
| 10 | 1255347811 | $5K |
| 11 | 1710913330 | $0 |
| 12 | 1811188766 | $0 |
Showing top 12 of 12 providers billing this code