HCPCS J0517

Injection, benralizumab, 1 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

200
73rd percentile among 6,405 codes billed · 2023
$40M
95th percentile among 6,405 codes billed · 2023
304K
91st percentile among 6,405 codes billed · 2023
1,230
96th percentile among 6,405 codes billed · 2023
3,720
95th percentile among 6,405 codes billed · 2023
+7.3%
Medicare payment on the code vs 2022; billers +10.5% · 2023

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
Virginia21$4,471,98334,5611,2003,330
Texas21$3,330,99125,8301,2302,010
Pennsylvania12$3,319,42525,2041,5604,130
Florida16$2,986,16922,9281,3502,483
South Carolina16$2,889,49121,8141,0952,790
Tennessee13$2,803,42321,3121,2003,832
California14$2,738,52021,9371,0504,119
Arizona12$2,201,36516,8609452,783

Not listed: 25 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 2023.

Top metro areas

observed calculated calculated calculated calculated
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD11$2,891,34521,9941,351
New York-Newark-Jersey City, NY-NJ12$2,305,89818,0091,442
Richmond, VA12$1,637,46212,6901,185

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 3 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing J0517 nationally

Nurse Practitioner accounts for 32% of payment for J0517 nationally in 2023, across 4 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner8040%$12,497,62432%95,6431,196
Allergy/ Immunology4925%$10,730,21827%81,6421,666
Pulmonary Disease3417%$7,296,97118%56,9961,676
Internal Medicine115.5%$1,690,9174.3%13,0501,186

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 2023.

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