HCPCS J9299

Injection, nivolumab, 1 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

470
79th percentile among 6,253 codes billed · 2021
$193M
99th percentile among 6,253 codes billed · 2021
8.6M
99th percentile among 6,253 codes billed · 2021
14,210
99th percentile among 6,253 codes billed · 2021
44,220
99th percentile among 6,253 codes billed · 2021
+0.6%
Medicare payment on the code vs 2020; billers -0.6% · 2021

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
Florida67$30,806,8701,349,31618,66042,242
California33$19,023,532911,58329,26049,274
Virginia41$12,588,638547,32811,60025,654
Arkansas27$12,274,206534,98018,20041,072
Texas43$11,892,914527,9699,24035,922
Maryland16$9,335,365411,67719,91053,115
Tennessee18$8,762,955387,56019,98046,972
South Carolina13$6,932,947301,70916,79649,216
Illinois21$6,814,006297,05711,44931,700
Alabama12$5,707,360250,74017,21047,524
Missouri17$5,553,682241,58412,94023,759
Arizona20$5,492,727242,5057,65032,736
Indiana11$4,437,647197,43815,84035,139
Oregon11$3,907,077170,02013,24029,410

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 2021.

Top metro areas

observed calculated calculated calculated calculated
Memphis, TN-MS-AR12$5,831,470259,42016,990
Little Rock-North Little Rock-Conway, AR13$5,447,747236,48012,720
Fayetteville-Springdale-Rogers, AR11$5,209,848227,94019,020
Virginia Beach-Chesapeake-Norfolk, VA-NC14$5,057,574219,68412,550
Dallas-Fort Worth-Arlington, TX25$5,010,312226,8497,400
Chicago-Naperville-Elgin, IL-IN15$4,859,381216,69511,449
Phoenix-Mesa-Chandler, AZ17$4,150,152183,6257,480
Richmond, VA13$3,917,555170,04012,240
St. Louis, MO-IL12$3,433,134148,90011,070
Washington-Arlington-Alexandria, DC-VA-MD-WV11$3,159,296142,1849,600
Jacksonville, FL16$2,408,394116,6217,420

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 11 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing J9299 nationally

Hematology-Oncology accounts for 72% of payment for J9299 nationally in 2021, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology31667%$138,263,97472%6,154,87719,477
Medical Oncology12326%$44,035,57823%1,946,38915,824
Internal Medicine112.3%$4,570,4472.4%199,34418,122

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 2021.

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