HCPCS J9299

Injection, nivolumab, 1 mg (CMS descriptor)

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

473
80th percentile among 6,116 codes billed · 2020
$192M
99th percentile among 6,116 codes billed · 2020
8.7M
99th percentile among 6,116 codes billed · 2020
15,223
99th percentile among 6,116 codes billed · 2020
47,946
99th percentile among 6,116 codes billed · 2020

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
Florida64$31,883,8641,432,28420,52047,467
California35$18,537,611927,93122,82057,589
Texas52$13,992,928636,78010,69027,253
Virginia42$13,738,133612,41012,47529,725
Arkansas27$12,290,160549,80317,70042,294
Tennessee21$10,583,174474,34020,88051,360
Illinois22$7,860,904352,04412,49731,214
South Carolina13$7,573,696338,59324,00049,516
Indiana11$5,807,827260,38517,46045,633
Arizona17$4,958,879230,7399,20544,025
Missouri16$4,737,591216,08011,32025,905
Oklahoma11$2,937,727130,42010,92021,120
Minnesota15$2,507,469112,9395,86016,164

Not listed: 25 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
Little Rock-North Little Rock-Conway, AR13$6,040,394269,08016,720
Memphis, TN-MS-AR13$5,902,252265,88014,740
Richmond, VA16$5,208,641232,20013,790
Cape Coral-Fort Myers, FL11$5,118,832228,51520,160
Fayetteville-Springdale-Rogers, AR11$4,433,032200,36317,700
Dallas-Fort Worth-Arlington, TX20$4,163,850197,0608,310
Phoenix-Mesa-Chandler, AZ14$3,233,174151,4768,330

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 2020.

Specialties billing J9299 nationally

Hematology-Oncology accounts for 71% of payment for J9299 nationally in 2020, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology30965%$136,400,00471%6,221,07520,133
Medical Oncology12526%$42,706,61122%1,938,45915,508
Internal Medicine183.8%$7,501,8143.9%335,96918,665

Not listed: 4 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 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