HCPCS J2506
Injection, pegfilgrastim, excludes biosimilar, 0.5 mg (CMS descriptor)
Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 126 | $2,191,365 | -90% | 41,891 | 288 | 699 | 0.00 |
| 2023 | 586 | $22,348,858 | -59% (2023 changed hospital and observation visit codes) | 276,240 | 384 | 1,019 | 0.00 |
| 2022 | 847 | $53,858,179 | not in the 2021 file | 430,820 | 420 | 1,165 | 0.00 |
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 state18 states
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| California | 73 | $3,152,215 | 39,990 | 504 | 1,102 | |
| Illinois | 66 | $2,171,364 | 26,857 | 318 | 912 | |
| Texas | 69 | $2,033,433 | 24,828 | 312 | 730 | |
| Tennessee | 43 | $2,006,653 | 24,228 | 432 | 1,481 | |
| Maryland | 27 | $1,489,792 | 18,264 | 588 | 1,283 | |
| Virginia | 35 | $1,091,299 | 13,488 | 360 | 835 | |
| Missouri | 35 | $906,249 | 11,304 | 312 | 647 | |
| Nebraska | 18 | $728,431 | 8,208 | 462 | 651 | |
| South Carolina | 13 | $726,787 | 8,904 | 744 | 1,164 | |
| New Jersey | 16 | $709,618 | 8,856 | 402 | 1,266 | |
| Iowa | 16 | $623,113 | 7,692 | 438 | 891 | |
| Pennsylvania | 14 | $549,810 | 6,975 | 462 | 776 | |
| Minnesota | 16 | $548,483 | 6,744 | 294 | 1,023 | |
| Arizona | 18 | $526,902 | 6,324 | 216 | 919 | |
| Florida | 12 | $497,056 | 5,836 | 432 | 782 |
Not listed: 21 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
Show the metro areas16 areas
| observed | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|
| Chicago-Naperville-Elgin, IL-IN | 56 | $1,764,141 | 22,044 | 318 | |
| Los Angeles-Long Beach-Anaheim, CA | 29 | $1,146,843 | 14,449 | 468 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 22 | $883,693 | 10,860 | 498 | |
| St. Louis, MO-IL | 31 | $861,167 | 10,728 | 276 | |
| San Francisco-Oakland-Fremont, CA | 17 | $851,391 | 10,781 | 564 | |
| Columbia, SC | 11 | $641,595 | 7,968 | 876 | |
| Dallas-Fort Worth-Arlington, TX | 23 | $625,135 | 7,788 | 324 | |
| New York-Newark-Jersey City, NY-NJ | 14 | $623,729 | 7,620 | 379 | |
| Memphis, TN-MS-AR | 15 | $609,899 | 7,116 | 468 | |
| Lincoln, NE | 12 | $498,211 | 5,700 | 480 | |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 15 | $453,400 | 5,556 | 384 | |
| Austin-Round Rock-San Marcos, TX | 14 | $431,655 | 5,280 | 288 | |
| Phoenix-Mesa-Chandler, AZ | 16 | $430,992 | 5,112 | 192 | |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 12 | $387,422 | 4,680 | 372 | |
| San Antonio-New Braunfels, TX | 11 | $312,544 | 3,744 | 252 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 16 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.
Specialties billing J2506 nationally
Hematology-Oncology accounts for 69% of payment for J2506 nationally in 2023, across 5 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Hematology-Oncology | 381 | 65% | $15,447,754 | 69% | 190,483 | 500 |
| Medical Oncology | 142 | 24% | $4,769,959 | 21% | 59,430 | 419 |
| Internal Medicine | 22 | 3.8% | $702,197 | 3.1% | 8,784 | 399 |
| Gynecological Oncology | 13 | 2.2% | $562,393 | 2.5% | 6,720 | 517 |
| Hematology | 11 | 1.9% | $335,439 | 1.5% | 3,983 | 362 |
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 2023.
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