HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg (CMS descriptor)

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

126
69th percentile among 6,471 codes billed · 2024
$2.2M
76th percentile among 6,471 codes billed · 2024
42K
79th percentile among 6,471 codes billed · 2024
288
91st percentile among 6,471 codes billed · 2024
699
82nd percentile among 6,471 codes billed · 2024
-90.2%
Medicare payment on the code vs 2023; billers -78.5% · 2024

Trend

Medicare payment on the code

$0$20M$40M2022: $54M paid20222023: $22M paid20232024: $2.2M paid2024$2.2M$0$20M$40M2022: $54M paid20222023: $22M paid20232024: $2.2M paid2024$2.2M$0$20M$40M2022: $54M paid20222023: $22M paid20232024: $2.2M paid2024$2.2M$0$20M$40M2022: $54M paid20222023: $22M paid20232024: $2.2M paid2024$2.2M

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

Billers

05002022: 847 providers20222023: 586 providers20232024: 126 providers202412605002022: 847 providers20222023: 586 providers20232024: 126 providers202412605002022: 847 providers20222023: 586 providers20232024: 126 providers202412605002022: 847 providers20222023: 586 providers20232024: 126 providers2024126

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

Trend by year: table3 years
observed calculated calculated calculated calculated calculated reported
2024126$2,191,365-90%41,8912886990.00
2023586$22,348,858-59% (2023 changed hospital and observation visit codes)276,2403841,0190.00
2022847$53,858,179not in the 2021 file430,8204201,1650.00

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

By state

Show the table by state5 states
observed calculated calculated calculated calculated calculated
California23$308,7926,923276502
Virginia17$289,9414,932240502
Texas16$261,8204,332246405
Illinois14$244,5794,068240537
Missouri14$209,1573,096210322

Not listed: 13 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

Show the metro areas3 areas
observed calculated calculated calculated calculated
Virginia Beach-Chesapeake-Norfolk, VA-NC17$289,9414,932240
St. Louis, MO-IL15$256,3903,828216
Chicago-Naperville-Elgin, IL-IN12$173,6912,916234

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 3 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 J2506 nationally

Hematology-Oncology accounts for 56% of payment for J2506 nationally in 2024, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology6552%$1,221,51856%23,135356
Medical Oncology3931%$567,39926%10,932280

Not listed: 7 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 J2506 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