HCPCS J0585
Injection, onabotulinumtoxina, 1 unit (CMS descriptor)
Drugs Drug code Work RVU per service none (2024 fee schedule; adds 0 work RVUs)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 3,723 | $225,551,859 | +7% | 46,383,230 | 7,660 | 34,299 | 0.00 |
| 2023 | 3,636 | $210,564,288 | +8% | 43,501,080 | 7,486 | 34,025 | 0.00 |
| 2022 | 3,544 | $194,920,809 | +9% | 40,916,298 | 7,255 | 33,438 | 0.00 |
| 2021 | 3,344 | $179,443,250 | +13% | 37,754,961 | 7,282 | 33,600 | 0.00 |
| 2020 | 3,095 | $159,380,343 | first year in data | 33,780,592 | 7,090 | 32,809 | 0.00 |
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 | |
|---|---|---|---|---|---|---|
| California | 436 | $40,468,622 | 8,248,647 | 7,528 | 46,081 | |
| Florida | 312 | $18,898,269 | 3,842,374 | 7,801 | 41,840 | |
| New York | 278 | $18,241,525 | 3,742,408 | 9,125 | 35,022 | |
| Texas | 219 | $11,843,495 | 2,428,164 | 7,600 | 28,926 | |
| Illinois | 159 | $8,039,300 | 1,653,075 | 7,900 | 31,047 | |
| Arizona | 107 | $7,381,684 | 1,516,888 | 9,370 | 33,354 | |
| Pennsylvania | 148 | $7,376,585 | 1,510,877 | 7,425 | 30,106 | |
| Colorado | 94 | $7,240,631 | 1,483,752 | 9,201 | 51,400 | |
| Massachusetts | 106 | $6,752,611 | 1,410,101 | 6,900 | 40,078 | |
| Missouri | 88 | $6,452,000 | 1,325,025 | 8,200 | 39,946 | |
| North Carolina | 116 | $5,628,725 | 1,160,031 | 6,168 | 34,375 | |
| Minnesota | 93 | $5,601,175 | 1,158,064 | 7,792 | 39,044 | |
| South Carolina | 91 | $5,582,667 | 1,149,453 | 7,700 | 40,597 | |
| New Jersey | 119 | $5,479,894 | 1,121,978 | 6,000 | 21,669 | |
| Ohio | 108 | $5,329,360 | 1,164,800 | 7,620 | 26,525 |
Not listed: 11 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 | |
|---|---|---|---|---|---|
| Los Angeles-Long Beach-Anaheim, CA | 145 | $20,221,613 | 4,096,349 | 6,360 | |
| New York-Newark-Jersey City, NY-NJ | 278 | $18,251,101 | 3,728,135 | 7,860 | |
| Chicago-Naperville-Elgin, IL-IN | 140 | $6,639,855 | 1,373,658 | 7,529 | |
| Phoenix-Mesa-Chandler, AZ | 83 | $5,895,379 | 1,213,316 | 9,173 | |
| San Diego-Chula Vista-Carlsbad, CA | 58 | $5,662,726 | 1,154,130 | 9,900 | |
| Boston-Cambridge-Newton, MA-NH | 79 | $5,367,798 | 1,126,955 | 6,335 | |
| Dallas-Fort Worth-Arlington, TX | 71 | $4,386,220 | 905,727 | 7,200 | |
| St. Louis, MO-IL | 54 | $4,319,723 | 885,987 | 8,200 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 74 | $4,227,233 | 852,862 | 6,953 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 91 | $3,987,385 | 812,497 | 6,400 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 63 | $3,642,016 | 744,549 | 7,882 | |
| Houston-Pasadena-The Woodlands, TX | 56 | $3,191,231 | 652,583 | 8,850 | |
| Tampa-St. Petersburg-Clearwater, FL | 50 | $2,953,144 | 601,094 | 7,535 | |
| Denver-Aurora-Centennial, CO | 37 | $2,808,899 | 572,060 | 8,300 | |
| San Francisco-Oakland-Fremont, CA | 49 | $2,808,500 | 573,130 | 6,200 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 79 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 J0585 nationally
Neurology accounts for 57% of payment for J0585 nationally in 2024, across 15 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Neurology | 1,569 | 42% | $128,701,510 | 57% | 26,538,539 | 16,914 |
| Physical Medicine and Rehabilitation | 284 | 7.6% | $26,739,090 | 12% | 5,502,344 | 19,374 |
| Nurse Practitioner | 241 | 6.5% | $13,194,268 | 5.8% | 2,729,245 | 11,325 |
| Urology | 475 | 13% | $11,542,826 | 5.1% | 2,341,325 | 4,929 |
| Family Practice | 12 | 0.32% | $9,622,988 | 4.3% | 1,955,607 | 162,967 |
| Ophthalmology | 330 | 8.9% | $7,803,171 | 3.5% | 1,598,323 | 4,843 |
| Physician Assistant | 141 | 3.8% | $7,436,471 | 3.3% | 1,538,744 | 10,913 |
| Ambulatory Surgical Center | 164 | 4.4% | $5,763,027 | 2.6% | 1,167,276 | 7,118 |
| Obstetrics & Gynecology | 227 | 6.1% | $4,651,634 | 2.1% | 942,878 | 4,154 |
| Pain Management | 37 | 0.99% | $1,949,956 | 0.86% | 404,625 | 10,936 |
| Otolaryngology | 108 | 2.9% | $1,519,525 | 0.67% | 309,379 | 2,865 |
| Interventional Pain Management | 30 | 0.81% | $1,495,392 | 0.66% | 303,543 | 10,118 |
| Anesthesiology | 27 | 0.73% | $1,111,183 | 0.49% | 226,452 | 8,387 |
| Internal Medicine | 15 | 0.40% | $883,262 | 0.39% | 179,967 | 11,998 |
| Plastic and Reconstructive Surgery | 11 | 0.30% | $315,011 | 0.14% | 64,596 | 5,872 |
Not listed: 20 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 J0585 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