HCPCS J2356

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

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

113
68th percentile among 6,405 codes billed · 2023
$22M
93rd percentile among 6,405 codes billed · 2023
1.6M
97th percentile among 6,405 codes billed · 2023
12,180
99th percentile among 6,405 codes billed · 2023
31,795
99th percentile among 6,405 codes billed · 2023
+847.3%
Medicare payment on the code vs 2022; billers +438.1% · 2023

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
Florida24$4,092,751287,29810,08019,414
California14$2,564,744194,77112,07626,386

Not listed: 24 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

No metro area has a reportable line for J2356 in 2023.

Specialties billing J2356 nationally

Nurse Practitioner accounts for 43% of payment for J2356 nationally in 2023, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner6154%$9,358,12543%656,04910,755
Allergy/ Immunology2119%$5,104,89023%358,09117,052
Pulmonary Disease1312%$3,540,73216%265,26520,405

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 2023.

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