J7503
HCPCS Procedure Code
HCPCS code J7503 is the #2,226 most-billed Medicaid procedure code, with $7.6M in payments across 96K claims from 2018–2024. The national median cost per claim is $80.91.
Total Paid
$7.6M
0.00% of all spending
Total Claims
96K
Providers
72
Avg Cost/Claim
$79
National Cost Distribution
How much do providers bill per claim for J7503? Based on 65 providers billing this code nationally.
Median
$80.91
Average
$89.21
Std Dev
$56.25
Max
$218.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $52.90 and $121.15 per claim for this code.
90% bill between $11.93 and $158.90.
Top 1% bill above $215.65.
About This Procedure
HCPCS code J7503 was billed by 72 providers across 96K claims, totaling $7.6M in Medicaid payments from 2018–2024. This code was used for 65K 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
$80.91
Providers Billing
65
National Spending
$7.6M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J7503
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1225482490 | $1.4M |
| 2 | 1417901646 | $794K |
| 3 | 1396128864 | $735K |
| 4 | 1801819818 | $465K |
| 5 | 1659456077 | $289K |
| 6 | 1679639348 | $257K |
| 7 | 1770586349 | $237K |
| 8 | 1396018883 | $222K |
| 9 | 1437513876 | $216K |
| 10 | 1790183515 | $202K |
| 11 | 1578639308 | $188K |
| 12 | 1710184106 | $180K |
| 13 | 1699836205 | $175K |
| 14 | 1609897784 | $169K |
| 15 | 1871929224 | $158K |
| 16 | 1679676639 | $147K |
| 17 | 1265538664 | $132K |
| 18 | 1619080942 | $127K |
| 19 | 1316213531 | $127K |
| 20 | 1972772101 | $102K |
Showing top 20 of 72 providers billing this code