HCPCS J2323

Injection, natalizumab, 1 mg (CMS descriptor)

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

59
59th percentile among 6,116 codes billed · 2020
$29M
94th percentile among 6,116 codes billed · 2020
1.9M
97th percentile among 6,116 codes billed · 2020
17,420
99th percentile among 6,116 codes billed · 2020
90,720
100th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$20M2020: $29M paid20202021: $28M paid20212022: $26M paid20222023: $21M paid20232024: $16M paid2024$16M$0$20M2020: $29M paid20202021: $28M paid20212022: $26M paid20222023: $21M paid20232024: $16M paid2024$16M$0$20M2020: $29M paid20202021: $28M paid20212022: $26M paid20222023: $21M paid20232024: $16M paid2024$16M$0$20M2020: $29M paid20202021: $28M paid20212022: $26M paid20222023: $21M paid20232024: $16M paid2024$16M

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

Billers

025502020: 59 providers20202021: 42 providers20212022: 36 providers20222023: 40 providers20232024: 31 providers202431025502020: 59 providers20202021: 42 providers20212022: 36 providers20222023: 40 providers20232024: 31 providers202431025502020: 59 providers20202021: 42 providers20212022: 36 providers20222023: 40 providers20232024: 31 providers202431025502020: 59 providers20202021: 42 providers20212022: 36 providers20222023: 40 providers20232024: 31 providers202431

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
202431$15,576,525-25%870,73422,80062,2850.00
202340$20,644,421-20% (2023 changed hospital and observation visit codes)1,148,71619,53267,4550.00
202236$25,818,893-9%1,437,11922,650150,5180.00
202142$28,398,489– (Not compared: 2021 changed office visit values)1,616,83717,700186,6150.00
202059$29,415,516first year in data1,854,19517,42090,7200.00

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
North Carolina17$2,623,908163,2018,10019,620

Not listed: 19 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
Raleigh-Cary, NC14$2,018,419126,0007,500

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 1 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 J2323 nationally

Neurology accounts for 82% of payment for J2323 nationally in 2020, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Neurology4576%$24,251,09282%1,531,97534,044

Not listed: 8 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 J2323 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