HCPCS J0585

Injection, onabotulinumtoxina, 1 unit (CMS descriptor)

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

3,636
94th percentile among 6,405 codes billed · 2023
$211M
99th percentile among 6,405 codes billed · 2023
43.5M
100th percentile among 6,405 codes billed · 2023
7,486
98th percentile among 6,405 codes billed · 2023
34,025
99th percentile among 6,405 codes billed · 2023
+8.0%
Medicare payment on the code vs 2022; billers +2.6% · 2023

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
California400$34,380,9967,051,8707,64047,519
Florida314$18,714,9983,819,5297,78041,857
New York275$17,430,2973,587,1049,40034,305
Texas200$11,272,1422,316,2097,90130,023
Colorado95$7,005,6781,444,3007,90155,981
Pennsylvania144$6,862,6941,408,5107,60026,931
Arizona110$6,828,3691,403,8129,07234,951
Illinois153$6,680,1631,382,8506,56028,229
Missouri90$6,529,3351,341,4108,84645,144
Massachusetts103$6,255,2551,313,6216,50038,764
North Carolina116$5,827,9011,197,3745,57532,159
Ohio102$5,312,2421,165,2857,60329,950
South Carolina87$5,287,9481,099,5257,80036,025
New Jersey111$5,063,9801,053,1816,10222,500
Minnesota84$4,887,4061,017,5537,60037,693

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ265$16,927,9853,480,5748,645
Los Angeles-Long Beach-Anaheim, CA133$16,071,1573,258,5386,449
Phoenix-Mesa-Chandler, AZ86$5,481,9371,126,9699,023
Chicago-Naperville-Elgin, IL-IN135$5,479,6221,139,3076,500
San Diego-Chula Vista-Carlsbad, CA55$5,365,6051,097,81210,550
Boston-Cambridge-Newton, MA-NH73$4,939,3501,041,3386,350
Miami-Fort Lauderdale-West Palm Beach, FL71$4,250,992862,1609,300
St. Louis, MO-IL52$4,221,402866,8269,050
Dallas-Fort Worth-Arlington, TX67$3,880,947803,4337,355
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD87$3,804,959778,9255,816
Washington-Arlington-Alexandria, DC-VA-MD-WV66$3,492,489714,2126,425
Houston-Pasadena-The Woodlands, TX45$2,827,784578,0158,700
Seattle-Tacoma-Bellevue, WA45$2,789,969579,1276,700
Denver-Aurora-Centennial, CO40$2,753,811566,2937,725
Tampa-St. Petersburg-Clearwater, FL46$2,624,535538,2677,105

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 76 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 J0585 nationally

Neurology accounts for 59% of payment for J0585 nationally in 2023, across 16 specialties on claims.

observed calculated calculated calculated calculated calculated
Neurology1,57643%$123,752,60259%25,672,27216,290
Physical Medicine and Rehabilitation2897.9%$25,854,02112%5,323,81918,422
Urology45913%$10,278,5504.9%2,094,4244,563
Nurse Practitioner1985.4%$9,996,4924.7%2,079,92510,505
Family Practice130.36%$8,330,1104.0%1,687,853129,835
Ophthalmology3459.5%$7,623,4633.6%1,567,7654,544
Physician Assistant1233.4%$6,395,4383.0%1,325,10610,773
Ambulatory Surgical Center1534.2%$5,261,4642.5%1,070,5236,997
Obstetrics & Gynecology2196.0%$4,033,0911.9%821,1243,749
Pain Management371.0%$1,690,1390.80%348,6339,423
Interventional Pain Management300.83%$1,268,7660.60%258,0208,601
Otolaryngology962.6%$1,119,1890.53%228,0152,375
Anesthesiology210.58%$797,3030.38%167,5747,980
Internal Medicine180.50%$793,5760.38%161,8108,989
Undefined Physician type110.30%$447,1590.21%91,5708,325

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 2023.

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