HCPCS J0517

Injection, benralizumab, 1 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

148
70th percentile among 6,253 codes billed · 2021
$32M
94th percentile among 6,253 codes billed · 2021
234K
90th percentile among 6,253 codes billed · 2021
1,248
97th percentile among 6,253 codes billed · 2021
3,897
96th percentile among 6,253 codes billed · 2021
+28.2%
Medicare payment on the code vs 2020; billers +34.5% · 2021

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
Virginia16$3,782,92227,8111,1854,148
Texas22$3,476,54626,1309302,241
South Carolina13$3,450,46925,3501,1104,626
Tennessee14$1,923,23014,1909001,909

Not listed: 24 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 2021.

Top metro areas

No metro area has a reportable line for J0517 in 2021.

Specialties billing J0517 nationally

Nurse Practitioner accounts for 35% of payment for J0517 nationally in 2021, across 4 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner6041%$11,040,45735%81,6371,361
Allergy/ Immunology2718%$6,455,42120%47,6651,765
Pulmonary Disease2416%$4,792,27715%35,3151,471
Internal Medicine117.4%$2,448,9377.7%17,9401,631

Not listed: 8 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 2021.

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