HCPCS J0585
Injection, onabotulinumtoxina, 1 unit (CMS descriptor)
Drugs Drug code Work RVU per service none (2022 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 | 371 | $28,443,582 | 5,909,225 | 7,700 | 40,068 | |
| Florida | 310 | $17,538,928 | 3,628,079 | 7,553 | 36,350 | |
| New York | 277 | $15,839,377 | 3,310,732 | 8,300 | 32,307 | |
| Texas | 211 | $10,807,982 | 2,260,691 | 6,500 | 32,950 | |
| Illinois | 158 | $6,476,031 | 1,362,138 | 5,702 | 24,293 | |
| Missouri | 89 | $6,383,165 | 1,335,549 | 9,025 | 38,840 | |
| Colorado | 82 | $6,172,941 | 1,296,585 | 9,650 | 58,885 | |
| Arizona | 101 | $6,050,234 | 1,263,006 | 8,120 | 35,573 | |
| Pennsylvania | 138 | $5,997,137 | 1,246,780 | 5,850 | 24,858 | |
| Massachusetts | 99 | $5,751,437 | 1,244,489 | 6,600 | 43,938 | |
| North Carolina | 109 | $5,665,092 | 1,182,320 | 6,781 | 31,930 | |
| South Carolina | 86 | $5,090,370 | 1,069,128 | 8,000 | 46,391 | |
| Ohio | 97 | $4,988,291 | 1,098,087 | 7,000 | 35,587 | |
| Minnesota | 86 | $4,866,749 | 1,032,159 | 8,800 | 42,413 | |
| Washington | 76 | $4,642,185 | 982,658 | 8,875 | 36,063 |
Not listed: 10 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 2022.
Top metro areas
| observed | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 257 | $15,333,552 | 3,199,396 | 8,345 | |
| Los Angeles-Long Beach-Anaheim, CA | 126 | $12,440,424 | 2,570,775 | 5,600 | |
| Chicago-Naperville-Elgin, IL-IN | 133 | $5,229,960 | 1,105,826 | 5,780 | |
| Phoenix-Mesa-Chandler, AZ | 74 | $4,845,266 | 1,009,299 | 9,450 | |
| San Diego-Chula Vista-Carlsbad, CA | 46 | $4,562,986 | 945,236 | 12,625 | |
| Boston-Cambridge-Newton, MA-NH | 69 | $4,384,159 | 942,534 | 6,070 | |
| St. Louis, MO-IL | 50 | $4,128,252 | 861,090 | 9,013 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 64 | $3,777,957 | 776,311 | 9,109 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 67 | $3,669,128 | 760,784 | 7,500 | |
| Dallas-Fort Worth-Arlington, TX | 71 | $3,634,639 | 770,482 | 6,500 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 78 | $3,265,573 | 677,461 | 5,728 | |
| Houston-Pasadena-The Woodlands, TX | 52 | $2,572,429 | 535,370 | 6,435 | |
| Seattle-Tacoma-Bellevue, WA | 36 | $2,471,610 | 521,130 | 8,375 | |
| Minneapolis-St. Paul-Bloomington, MN-WI | 53 | $2,379,940 | 510,360 | 8,000 | |
| Tampa-St. Petersburg-Clearwater, FL | 43 | $2,370,389 | 494,252 | 9,100 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 78 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.
Specialties billing J0585 nationally
Neurology accounts for 60% of payment for J0585 nationally in 2022, across 14 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Neurology | 1,572 | 44% | $117,914,760 | 60% | 24,819,647 | 15,789 |
| Physical Medicine and Rehabilitation | 266 | 7.5% | $23,865,302 | 12% | 5,008,685 | 18,830 |
| Urology | 451 | 13% | $9,399,503 | 4.8% | 1,951,837 | 4,328 |
| Nurse Practitioner | 166 | 4.7% | $8,431,230 | 4.3% | 1,782,206 | 10,736 |
| Ophthalmology | 363 | 10% | $7,450,736 | 3.8% | 1,558,075 | 4,292 |
| Physician Assistant | 103 | 2.9% | $4,888,448 | 2.5% | 1,025,575 | 9,957 |
| Ambulatory Surgical Center | 157 | 4.4% | $4,656,823 | 2.4% | 956,492 | 6,092 |
| Obstetrics & Gynecology | 191 | 5.4% | $3,185,148 | 1.6% | 660,937 | 3,460 |
| Pain Management | 43 | 1.2% | $1,680,438 | 0.86% | 350,144 | 8,143 |
| Interventional Pain Management | 37 | 1.0% | $1,365,660 | 0.70% | 284,555 | 7,691 |
| Otolaryngology | 87 | 2.5% | $948,748 | 0.49% | 197,446 | 2,269 |
| Internal Medicine | 18 | 0.51% | $901,592 | 0.46% | 186,688 | 10,372 |
| Anesthesiology | 19 | 0.54% | $849,477 | 0.44% | 180,940 | 9,523 |
| Plastic and Reconstructive Surgery | 16 | 0.45% | $337,452 | 0.17% | 70,809 | 4,426 |
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 2022.
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