HCPCS J2505

Injection, pegfilgrastim, 6 mg (CMS descriptor)

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

1,545
89th percentile among 6,116 codes billed · 2020
$240M
99th percentile among 6,116 codes billed · 2020
78K
84th percentile among 6,116 codes billed · 2020
39
69th percentile among 6,116 codes billed · 2020
123
61st percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$100M$200M2020: $240M paid20202021: $112M paid2021$112M$0$100M$200M2020: $240M paid20202021: $112M paid2021$112M$0$100M$200M2020: $240M paid20202021: $112M paid2021$112M$0$100M$200M2020: $240M paid20202021: $112M paid2021$112M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2021.

Billers

01,0002020: 1,545 providers20202021: 1,137 providers20211,13701,0002020: 1,545 providers20202021: 1,137 providers20211,13701,0002020: 1,545 providers20202021: 1,137 providers20211,13701,0002020: 1,545 providers20202021: 1,137 providers20211,137

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2021.

observed calculated calculated calculated calculated calculated reported
20211,137$112,288,132– (Not compared: 2021 changed office visit values)53,626391160.00
20201,545$240,348,325first year in data78,284391230.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2021.

By state

observed calculated calculated calculated calculated calculated
Florida193$34,908,16111,26549123
California100$16,282,7135,41245101
Texas145$15,204,5284,9152690
Illinois91$14,372,2644,66341118
Tennessee70$14,265,4254,66847193
Virginia86$13,265,4034,28642101
New Jersey72$12,599,3594,16246131
Arizona62$9,726,2673,17736148
Maryland45$9,526,1483,08058136
Alabama46$9,182,6512,98560120
Pennsylvania60$8,347,2482,80138122
South Carolina24$7,485,8462,423102206
New York50$6,168,9351,9983270
Nebraska29$5,308,3241,7115097
Missouri54$5,295,6341,7132957

Not listed: 18 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
New York-Newark-Jersey City, NY-NJ77$13,280,5404,37447
Washington-Arlington-Alexandria, DC-VA-MD-WV62$10,078,9233,25736
Chicago-Naperville-Elgin, IL-IN59$8,435,1522,74041
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD43$7,253,2492,35043
Phoenix-Mesa-Chandler, AZ47$7,161,8332,35135
Virginia Beach-Chesapeake-Norfolk, VA-NC34$6,995,1532,26658
Columbia, SC16$6,089,0021,963112
Dallas-Fort Worth-Arlington, TX70$5,563,5931,79420
North Port-Bradenton-Sarasota, FL23$4,776,6681,53465
Knoxville, TN11$4,342,0451,441108
Memphis, TN-MS-AR19$3,968,9291,29646
Nashville-Davidson--Murfreesboro--Franklin, TN24$3,757,1281,21540
Las Vegas-Henderson-North Las Vegas, NV25$3,695,5531,20242
Fresno, CA12$3,631,2691,17684
St. Louis, MO-IL42$3,582,1821,16124

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 41 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 J2505 nationally

Hematology-Oncology accounts for 70% of payment for J2505 nationally in 2020, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology1,01966%$168,517,78470%54,93054
Medical Oncology38325%$52,553,62522%17,04144
Internal Medicine493.2%$6,985,8582.9%2,28947
Gynecological Oncology322.1%$5,553,5852.3%1,80756
Hematology261.7%$3,954,8561.6%1,30050
Nurse Practitioner201.3%$1,588,0520.66%51926

Not listed: 5 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 J2505 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