RxDoctor Payments Data

HCPCS J0665

Injection, bupivicaine, not otherwise specified, 0.5 mg

$0.01Medicare-allowed amount per service, averaged across 2,264,496 services
Providers submitted
$1.68

Asking price, not received

Medicare allowed
$0.01

The fee schedule figure

Medicare paid
$0.01

Balance is patient coinsurance

Providers submitted an average of $1.68 for this code and Medicare allowed $0.01168.0× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $0.01 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility
$0.01
Hospital / facility
$0.01

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 1,465,868 services were billed in an office setting and 798,628 in a facility.

Services
2,264,496

Medicare Part B, 2024

Beneficiaries
41,929
Providers billing it
765
Total allowed
$22,645

Services × allowed amount

What Medicare pays for HCPCS J0665

Across 2,264,496 services billed by 765 providers to 41,929 beneficiaries, Medicare allowed an average of $0.01 per service. That is 54.0 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

This is a drug or supply code rather than a service. The unit is usually a dose or a milligram, so the per-service figure is small by construction and the total is what carries meaning — read it alongside the service count rather than on its own.

Who bills J0665

SpecialtyServicesBeneficiariesAvg allowedProviders
Ambulatory Surgical Center785,0374,825$0.0138
Pain Management225,1964,531$0.0176
Orthopedic Surgery211,73013,055$0.01182
Interventional Pain Management171,3452,434$0.0152
Physician Assistant157,7944,739$0.01116
Anesthesiology132,7452,806$0.0154
Family Practice120,0141,172$0.0120
Physical Medicine and Rehabilitation116,8182,503$0.0163
Hand Surgery71,237525$0.019
Neurology55,9031,253$0.0128
Sports Medicine40,7711,187$0.0118
Nurse Practitioner40,216996$0.0141
Podiatry29,400468$0.0122
Urology27,67076$0.013
Rheumatology27,12349$0.012

J0665 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

StateServicesAllowedStandardized pmtProviders
California545,000$0.01$0.01166
North Carolina189,505$0.01$0.019
New Jersey175,416$0.01$0.0148
Texas154,200$0.01$0.0189
Washington149,315$0.01$0.0128
Colorado120,618$0.01$0.0140
Kentucky106,002$0.01$0.0111
Ohio94,899$0.01$0.0177
Pennsylvania77,472$0.01$0.0119
Florida76,117$0.01$0.0138
Nevada73,280$0.01$0.0116
New Mexico41,218$0.01$0.014
Alaska40,996$0.01$0.016
Iowa38,218$0.01$0.013
Oregon37,936$0.01$0.0113
Arizona37,014$0.01$0.0126
Rhode Island36,769$0.01$0.011
Wyoming30,904$0.01$0.013
Virginia28,905$0.01$0.013
South Carolina26,998$0.01$0.0112
Idaho26,713$0.01$0.0115
Michigan24,615$0.01$0.0118
Maryland23,891$0.01$0.016
New York22,799$0.01$0.0131
Indiana15,114$0.01$0.015
Minnesota12,398$0.01$0.016
New Hampshire10,625$0.01$0.012
Arkansas6,112$0.01$0.018
Illinois5,736$0.01$0.017
Georgia5,688$0.01$0.013
Montana4,640$0.01$0.013
District of Columbia4,401$0.01$0.014
Vermont4,002$0.01$0.011
Nebraska3,080$0.01$0.012
Connecticut2,953$0.01$0.015
South Dakota2,507$0.01$0.017
Louisiana1,503$0.01$0.017
Guam1,490$0.01$0.011
Maine1,300$0.01$0.011
Wisconsin1,273$0.01$0.015
Massachusetts910$0.01$0.011
Kansas775$0.01$0.014
Utah687$0.01$0.016
Oklahoma195$0.01$0.012
Delaware178$0.01$0.011
Tennessee129$0.01$0.012

Related codes

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.