HCPCS J9299

Injection, nivolumab, 1 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

505
81st percentile among 6,405 codes billed · 2023
$211M
99th percentile among 6,405 codes billed · 2023
9.0M
99th percentile among 6,405 codes billed · 2023
14,740
99th percentile among 6,405 codes billed · 2023
42,498
99th percentile among 6,405 codes billed · 2023
+2.2%
Medicare payment on the code vs 2022; billers +0.8% · 2023

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
Florida71$30,097,7791,280,57415,58040,290
California39$21,002,915921,90021,00050,684
Maryland21$13,873,129595,76424,08052,380
Arkansas30$12,988,331549,62015,66035,004
Texas33$11,226,239484,7008,80051,216
Illinois30$9,154,993389,3559,56535,041
Virginia27$9,056,931386,89112,92027,252
Kansas14$8,921,009379,14024,55042,720
Tennessee18$8,774,864372,88021,01033,369
Missouri22$7,926,159336,10814,17022,598
Arizona26$7,540,505321,8477,48040,398
South Carolina14$6,047,776257,63615,76036,136
Nebraska13$5,778,054244,42319,30031,385
Minnesota21$3,347,761141,6905,24012,260

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 2023.

Top metro areas

observed calculated calculated calculated calculated
Baltimore-Columbia-Towson, MD15$9,451,840408,84423,680
Memphis, TN-MS-AR14$6,329,497269,42019,940
Chicago-Naperville-Elgin, IL-IN22$6,236,309264,6549,335
Little Rock-North Little Rock-Conway, AR13$6,178,980261,86016,200
Phoenix-Mesa-Chandler, AZ24$6,173,243264,1047,360
Washington-Arlington-Alexandria, DC-VA-MD-WV12$5,115,053216,32514,383
Fayetteville-Springdale-Rogers, AR13$4,779,585202,06014,860
St. Louis, MO-IL16$4,771,571202,58811,200
Los Angeles-Long Beach-Anaheim, CA11$4,504,425215,96521,000
Jacksonville, FL22$3,650,122159,6606,340
Rochester, MN15$1,786,62475,7704,880

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 2023.

Specialties billing J9299 nationally

Hematology-Oncology accounts for 69% of payment for J9299 nationally in 2023, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology33466%$145,633,43569%6,240,55818,684
Medical Oncology13126%$52,049,74425%2,222,31416,964
Internal Medicine183.6%$6,578,9823.1%284,65115,814

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 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