J7500
HCPCS Procedure Code
HCPCS code J7500 is the #6,285 most-billed Medicaid procedure code, with $78K in payments across 4K claims from 2018–2024. The national median cost per claim is $4.92. Costs vary widely — the 90th percentile is $32.57 per claim, 6.6× the median.
Total Paid
$78K
0.00% of all spending
Total Claims
4K
Providers
13
Avg Cost/Claim
$19
National Cost Distribution
How much do providers bill per claim for J7500? Based on 13 providers billing this code nationally.
Median
$4.92
Average
$18.19
Std Dev
$23.48
Max
$84.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.96 and $25.85 per claim for this code.
90% bill between $0.32 and $32.57.
Top 1% bill above $78.37.
About This Procedure
HCPCS code J7500 was billed by 13 providers across 4K claims, totaling $78K in Medicaid payments from 2018–2024. This code was used for 4K 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
$4.92
Providers Billing
13
National Spending
$78K
Avg/Median Ratio
3.70×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J7500
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1417901646 | $55K |
| 2 | 1710184106 | $6K |
| 3 | 1225482490 | $6K |
| 4 | 1821329731 | $5K |
| 5 | 1396128864 | $2K |
| 6 | 1285091330 | $1K |
| 7 | 1437253168 | $854 |
| 8 | 1679971485 | $353 |
| 9 | 1215365325 | $202 |
| 10 | 1932135068 | $143 |
| 11 | 1770713224 | $96 |
| 12 | 1558470039 | $17 |
| 13 | 1346263340 | $6 |
Showing top 13 of 13 providers billing this code