HCPCS J9299

Injection, nivolumab, 1 mg (CMS descriptor)

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

441
80th percentile among 6,471 codes billed · 2024
$191M
99th percentile among 6,471 codes billed · 2024
7.9M
99th percentile among 6,471 codes billed · 2024
14,180
99th percentile among 6,471 codes billed · 2024
44,228
99th percentile among 6,471 codes billed · 2024
-9.4%
Medicare payment on the code vs 2023; billers -12.7% · 2024

Trend

Medicare payment on the code

$0$100M$200M2020: $192M paid20202021: $193M paid20212022: $207M paid20222023: $211M paid20232024: $191M paid2024$191M$0$100M$200M2020: $192M paid20202021: $193M paid20212022: $207M paid20222023: $211M paid20232024: $191M paid2024$191M$0$100M$200M2020: $192M paid20202021: $193M paid20212022: $207M paid20222023: $211M paid20232024: $191M paid2024$191M$0$100M$200M2020: $192M paid20202021: $193M paid20212022: $207M paid20222023: $211M paid20232024: $191M paid2024$191M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

02004002020: 473 providers20202021: 470 providers20212022: 501 providers20222023: 505 providers20232024: 441 providers202444102004002020: 473 providers20202021: 470 providers20212022: 501 providers20222023: 505 providers20232024: 441 providers202444102004002020: 473 providers20202021: 470 providers20212022: 501 providers20222023: 505 providers20232024: 441 providers202444102004002020: 473 providers20202021: 470 providers20212022: 501 providers20222023: 505 providers20232024: 441 providers2024441

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
2024441$191,282,270-9%7,881,79614,18044,2280.00
2023505$211,141,098+2%9,040,66114,74042,4980.00
2022501$206,567,716+7%9,036,67914,62040,7600.00
2021470$193,120,311+1%8,574,71614,21044,2200.00
2020473$191,923,683first year in data8,734,65315,22347,9460.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
Florida65$27,039,9091,117,38714,74035,108
California29$18,490,894768,18723,04051,336
Arkansas34$15,879,519647,56516,04039,425
Texas34$11,670,980484,3819,15045,758
Maryland17$11,113,903464,37027,32051,696
Kansas14$9,037,563367,60025,72039,640
Illinois27$8,979,519369,78912,16026,732
Virginia26$8,198,675336,88012,00024,615
Tennessee16$7,702,673318,12116,60039,045
Arizona26$6,954,187286,3166,13037,465
Nebraska13$5,889,920239,92215,80041,909
South Carolina13$5,017,088205,70014,12026,556
Pennsylvania12$4,700,103192,90512,29034,512
New York11$4,296,219175,90111,73636,564
Minnesota14$2,555,851105,4806,17015,116

Not listed: 23 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
Baltimore-Columbia-Towson, MD14$9,731,761408,04428,517
Little Rock-North Little Rock-Conway, AR16$7,431,406302,74014,150
Wichita, KS11$7,220,409293,52024,200
Chicago-Naperville-Elgin, IL-IN18$5,745,721235,5099,460
Phoenix-Mesa-Chandler, AZ23$5,236,057216,2726,000
Fayetteville-Springdale-Rogers, AR11$4,645,294189,74016,660
Jacksonville, FL24$4,239,413183,6407,060

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 7 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 J9299 nationally

Hematology-Oncology accounts for 73% of payment for J9299 nationally in 2024, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology31371%$139,084,29573%5,734,22718,320
Medical Oncology9121%$39,262,73621%1,617,76917,778
Internal Medicine214.8%$6,355,2063.3%260,12012,387

Not listed: 6 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 J9299 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