HCPCS J0517

Injection, benralizumab, 1 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2024 fee schedule; adds 0 work RVUs)

202
74th percentile among 6,471 codes billed · 2024
$42M
95th percentile among 6,471 codes billed · 2024
326K
91st percentile among 6,471 codes billed · 2024
1,335
96th percentile among 6,471 codes billed · 2024
3,661
94th percentile among 6,471 codes billed · 2024
+6.5%
Medicare payment on the code vs 2023; billers +1.0% · 2024

Trend

Medicare payment on the code

$0$20M$40M2020: $25M paid20202021: $32M paid20212022: $37M paid20222023: $40M paid20232024: $42M paid2024$42M$0$20M$40M2020: $25M paid20202021: $32M paid20212022: $37M paid20222023: $40M paid20232024: $42M paid2024$42M$0$20M$40M2020: $25M paid20202021: $32M paid20212022: $37M paid20222023: $40M paid20232024: $42M paid2024$42M$0$20M$40M2020: $25M paid20202021: $32M paid20212022: $37M paid20222023: $40M paid20232024: $42M paid2024$42M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

01002002020: 110 providers20202021: 148 providers20212022: 181 providers20222023: 200 providers20232024: 202 providers202420201002002020: 110 providers20202021: 148 providers20212022: 181 providers20222023: 200 providers20232024: 202 providers202420201002002020: 110 providers20202021: 148 providers20212022: 181 providers20222023: 200 providers20232024: 202 providers202420201002002020: 110 providers20202021: 148 providers20212022: 181 providers20222023: 200 providers20232024: 202 providers2024202

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
2024202$42,232,208+7%326,2671,3353,6610.00
2023200$39,638,328+7%304,1231,2303,7200.00
2022181$36,957,798+16%282,5111,3213,3000.00
2021148$31,779,944+28%234,2771,2483,8970.00
2020110$24,789,771first year in data184,7531,3223,9390.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
Florida24$4,458,60634,1171,2162,336
Virginia22$4,403,84734,2358407,232
Pennsylvania14$4,164,24132,0172,0254,627
Texas22$3,588,65627,8191,2751,827
Tennessee17$3,406,93926,0211,2003,301
South Carolina15$3,202,36024,5401,0204,824
Arizona12$2,359,65318,1501,4552,281

Not listed: 27 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2024.

Top metro areas

observed calculated calculated calculated calculated
Richmond, VA12$1,666,24612,993900

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 1 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing J0517 nationally

Nurse Practitioner accounts for 36% of payment for J0517 nationally in 2024, across 4 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner8944%$15,236,99536%117,2711,318
Allergy/ Immunology4321%$11,157,95426%85,8851,997
Pulmonary Disease3618%$6,932,41416%54,3111,509
Internal Medicine115.4%$1,839,4924.4%14,1091,283

Not listed: 11 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2024.

Top billers of J0517 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations