HCPCS J2356

Injection, tezepelumab-ekko, 1 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2024 fee schedule; adds 0 work RVUs)

206
74th percentile among 6,471 codes billed · 2024
$50M
96th percentile among 6,471 codes billed · 2024
3.5M
98th percentile among 6,471 codes billed · 2024
13,860
99th percentile among 6,471 codes billed · 2024
39,795
99th percentile among 6,471 codes billed · 2024
+127.0%
Medicare payment on the code vs 2023; billers +82.3% · 2024

Trend

Medicare payment on the code

$0$20M$40M2022: $2.3M paid20222023: $22M paid20232024: $50M paid2024$50M$0$20M$40M2022: $2.3M paid20222023: $22M paid20232024: $50M paid2024$50M$0$20M$40M2022: $2.3M paid20222023: $22M paid20232024: $50M paid2024$50M$0$20M$40M2022: $2.3M paid20222023: $22M paid20232024: $50M paid2024$50M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2024.

Billers

01002002022: 21 providers20222023: 113 providers20232024: 206 providers202420601002002022: 21 providers20222023: 113 providers20232024: 206 providers202420601002002022: 21 providers20222023: 113 providers20232024: 206 providers202420601002002022: 21 providers20222023: 113 providers20232024: 206 providers2024206

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2024.

observed calculated calculated calculated calculated calculated reported
2024206$49,939,375+127%3,539,99813,86039,7950.00
2023113$21,999,025+847%1,560,50512,18031,7950.00
202221$2,322,300not in the 2021 file166,7476,93014,070

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2024.

By state

observed calculated calculated calculated calculated calculated
Florida38$9,279,656654,81414,80633,150
California23$6,095,760442,60415,96040,677
Texas22$4,702,424331,17910,81631,048
Virginia16$2,813,567198,0308,50537,695
Pennsylvania11$2,053,291144,4829,24026,880

Not listed: 31 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
Tampa-St. Petersburg-Clearwater, FL12$2,781,432195,93010,080
Dallas-Fort Worth-Arlington, TX11$2,060,006144,9089,660
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD13$1,984,062139,6529,030
Richmond, VA11$1,235,08286,9408,190

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 4 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 J2356 nationally

Nurse Practitioner accounts for 38% of payment for J2356 nationally in 2024, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner9848%$18,912,71538%1,336,02013,633
Allergy/ Immunology5024%$14,748,48630%1,048,52820,971
Pulmonary Disease3015%$8,635,85617%616,37420,546

Not listed: 9 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 J2356 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