HCPCS J0585

Injection, onabotulinumtoxina, 1 unit (CMS descriptor)

Drugs Drug code Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

3,095
93rd percentile among 6,116 codes billed · 2020
$159M
98th percentile among 6,116 codes billed · 2020
33.8M
100th percentile among 6,116 codes billed · 2020
7,090
99th percentile among 6,116 codes billed · 2020
32,809
99th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$100M$200M2020: $159M paid20202021: $179M paid20212022: $195M paid20222023: $211M paid20232024: $226M paid2024$226M$0$100M$200M2020: $159M paid20202021: $179M paid20212022: $195M paid20222023: $211M paid20232024: $226M paid2024$226M$0$100M$200M2020: $159M paid20202021: $179M paid20212022: $195M paid20222023: $211M paid20232024: $226M paid2024$226M$0$100M$200M2020: $159M paid20202021: $179M paid20212022: $195M paid20222023: $211M paid20232024: $226M paid2024$226M

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

Billers

02,0004,0002020: 3,095 providers20202021: 3,344 providers20212022: 3,544 providers20222023: 3,636 providers20232024: 3,723 providers20243,72302,0004,0002020: 3,095 providers20202021: 3,344 providers20212022: 3,544 providers20222023: 3,636 providers20232024: 3,723 providers20243,72302,0004,0002020: 3,095 providers20202021: 3,344 providers20212022: 3,544 providers20222023: 3,636 providers20232024: 3,723 providers20243,72302,0004,0002020: 3,095 providers20202021: 3,344 providers20212022: 3,544 providers20222023: 3,636 providers20232024: 3,723 providers20243,723

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
20243,723$225,551,859+7%46,383,2307,66034,2990.00
20233,636$210,564,288+8%43,501,0807,48634,0250.00
20223,544$194,920,809+9%40,916,2987,25533,4380.00
20213,344$179,443,250+13%37,754,9617,28233,6000.00
20203,095$159,380,343first year in data33,780,5927,09032,8090.00

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
California305$17,616,2693,696,0437,00036,690
Florida274$13,656,1452,862,5997,05031,609
New York249$13,244,6442,785,2417,90034,630
Texas184$9,016,1861,914,6905,90030,239
Colorado76$5,818,8961,235,1179,80055,624
Missouri73$5,742,6171,218,33611,75539,764
Illinois129$5,250,2001,114,6736,20025,375
North Carolina100$5,123,5771,074,1747,01535,020
Pennsylvania112$4,864,2891,028,0885,95125,911
Arizona90$4,825,7271,029,1107,80627,485
Ohio92$4,532,197968,4717,46029,133
Georgia84$4,342,719925,4987,70129,677
Massachusetts69$4,325,970901,1026,70046,180
Minnesota74$4,153,806897,2328,31332,385
Washington74$4,053,512868,6776,26535,742

Not listed: 13 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ207$11,965,8722,501,0348,050
Los Angeles-Long Beach-Anaheim, CA90$4,589,711958,3165,351
Chicago-Naperville-Elgin, IL-IN97$3,966,619839,4145,869
St. Louis, MO-IL46$3,743,479791,66310,950
Phoenix-Mesa-Chandler, AZ67$3,710,522792,3007,350
San Diego-Chula Vista-Carlsbad, CA37$3,690,031771,67210,750
Boston-Cambridge-Newton, MA-NH46$3,244,912673,1825,963
Miami-Fort Lauderdale-West Palm Beach, FL58$3,183,326662,7407,850
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD65$3,116,365657,6915,800
Dallas-Fort Worth-Arlington, TX56$2,834,489612,5515,200
Washington-Arlington-Alexandria, DC-VA-MD-WV55$2,614,956548,6825,800
Minneapolis-St. Paul-Bloomington, MN-WI47$2,241,834482,7808,100
Atlanta-Sandy Springs-Roswell, GA43$2,195,600462,5587,301
Seattle-Tacoma-Bellevue, WA38$2,185,847464,3166,250
Houston-Pasadena-The Woodlands, TX38$2,066,343433,9407,138

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 71 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing J0585 nationally

Neurology accounts for 66% of payment for J0585 nationally in 2020, across 14 specialties on claims.

observed calculated calculated calculated calculated calculated
Neurology1,50048%$104,748,68466%22,220,22114,813
Physical Medicine and Rehabilitation2417.8%$19,269,55412%4,098,60117,007
Ophthalmology33911%$6,764,5214.2%1,425,7714,206
Urology34011%$6,499,9404.1%1,358,6083,996
Nurse Practitioner1093.5%$5,180,3003.3%1,110,94610,192
Ambulatory Surgical Center1404.5%$3,820,6172.4%793,4125,667
Physician Assistant672.2%$2,655,6551.7%568,9318,492
Obstetrics & Gynecology1274.1%$1,849,7101.2%386,8553,046
Pain Management250.81%$1,130,4580.71%236,6249,465
Interventional Pain Management341.1%$1,086,9930.68%229,4046,747
Internal Medicine130.42%$754,9430.47%158,04912,158
Anesthesiology170.55%$728,1420.46%152,2198,954
Otolaryngology752.4%$547,8370.34%115,3681,538
Plastic and Reconstructive Surgery170.55%$331,2280.21%69,9074,112

Not listed: 17 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 2020.

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