HCPCS J9299

Injection, nivolumab, 1 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

501
80th percentile among 6,326 codes billed · 2022
$207M
99th percentile among 6,326 codes billed · 2022
9.0M
99th percentile among 6,326 codes billed · 2022
14,620
99th percentile among 6,326 codes billed · 2022
40,760
99th percentile among 6,326 codes billed · 2022
+7.0%
Medicare payment on the code vs 2021; billers +6.6% · 2022

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$30,024,6511,308,55417,54051,076
California38$18,923,510884,21718,73049,260
Texas48$14,082,495613,9387,70036,038
Arkansas28$11,717,130504,19015,75032,508
Maryland17$10,939,362476,48228,57247,908
Virginia31$10,164,973437,61012,96028,800
Tennessee20$9,930,283430,94021,09040,540
Arizona27$9,031,279389,3949,06041,532
South Carolina19$8,657,560373,70018,84032,628
Illinois24$7,366,983321,62910,01037,187
Missouri17$6,135,392264,04114,16024,696
New York15$5,216,833224,59712,88027,561
Minnesota15$2,120,43593,5505,04011,780

Not listed: 29 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 2022.

Top metro areas

observed calculated calculated calculated calculated
Phoenix-Mesa-Chandler, AZ24$7,203,402310,7597,551
Baltimore-Columbia-Towson, MD11$6,782,418296,74222,080
Memphis, TN-MS-AR13$6,412,571279,10019,480
Little Rock-North Little Rock-Conway, AR15$6,411,962275,68014,080
Chicago-Naperville-Elgin, IL-IN16$4,176,627187,76910,351
Dallas-Fort Worth-Arlington, TX22$4,136,317185,3406,420
St. Louis, MO-IL11$3,850,963165,78112,720
Richmond, VA12$3,378,826145,33011,210
Jacksonville, FL17$2,427,614121,8616,420
Rochester, MN13$1,455,66464,4704,640

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 10 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing J9299 nationally

Hematology-Oncology accounts for 71% of payment for J9299 nationally in 2022, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology34168%$145,717,70571%6,390,44718,740
Medical Oncology13026%$50,359,58624%2,191,07816,854
Internal Medicine122.4%$5,128,0632.5%222,32218,527

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 2022.

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