J7345
HCPCS Procedure Code
HCPCS code J7345 is the #6,171 most-billed Medicaid procedure code, with $88K in payments across 348 claims from 2018–2024. The national median cost per claim is $178.97.
Total Paid
$88K
0.00% of all spending
Total Claims
348
Providers
3
Avg Cost/Claim
$252
National Cost Distribution
How much do providers bill per claim for J7345? Based on 2 providers billing this code nationally.
Median
$178.97
Average
$178.97
Std Dev
$163.27
Max
$294.42
Percentile Distribution (Cost per Claim)
50% of providers bill between $121.24 and $236.69 per claim for this code.
90% bill between $86.61 and $271.33.
Top 1% bill above $292.11.
About This Procedure
HCPCS code J7345 was billed by 3 providers across 348 claims, totaling $88K in Medicaid payments from 2018–2024. This code was used for 261 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
$178.97
Providers Billing
2
National Spending
$88K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.