J7342
HCPCS Procedure Code
HCPCS code J7342 is the #7,124 most-billed Medicaid procedure code, with $27K in payments across 2K claims from 2018–2024. The national median cost per claim is $12.71.
Total Paid
$27K
0.00% of all spending
Total Claims
2K
Providers
9
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for J7342? Based on 6 providers billing this code nationally.
Median
$12.71
Average
$12.77
Std Dev
$10.93
Max
$26.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.84 and $20.67 per claim for this code.
90% bill between $2.09 and $23.53.
Top 1% bill above $26.02.
About This Procedure
HCPCS code J7342 was billed by 9 providers across 2K claims, totaling $27K in Medicaid payments from 2018–2024. This code was used for 2K 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
$12.71
Providers Billing
6
National Spending
$27K
Avg/Median Ratio
1.00×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J7342
| # | Provider | Total Paid |
|---|---|---|
| 1 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $19K |
| 2 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $5K |
| 3 | 1952643306 | $2K |
| 4 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $1K |
| 5 | 1093714073 | $260 |
| 6 | 1154419737 | $28 |
| 7 | 1093719932 | $0 |
| 8 | 1336103738 | $0 |
| 9 | 1588631311 | $0 |
Showing top 9 of 9 providers billing this code