J0665 is the HCPCS code for: Injection, bupivicaine, not otherwise specified, 0.5 mg. In 2024, 765 providers billed J0665 2.3M times, an estimated $22K paid by Medicare.
J0665 is a Part B drug code: Medicare pays an ASP-based rate of $0.01 per 0.5 mg (2026 Q3 ASP drug pricing file). Total payment per patient depends on the dose billed.
A billed "service" on this code is one 0.5 mg unit, not one patient visit. That's why the service counts below run high.
What Medicare actually paid per service in 2024, on average: $0.01 (observed payment across all settings and modifiers, not a fee-schedule rate).
The top 5 billers nationally, ranked by 2024 Medicare service volume.
| # | Provider | Specialty | Location | Services | Est. Medicare paid |
|---|---|---|---|---|---|
| 1 | Scripps Health | Ambulatory Surgical Center | San Diego, CA | 142,757 | $1K |
| 2 | Baptist Healthcare System, Inc. | Ambulatory Surgical Center | Louisville, KY | 92,726 | $840 |
| 3 | Scripps Health | Ambulatory Surgical Center | Oceanside, CA | 86,181 | $892 |
| 4 | Carrie Lynn Wilcox, M.D. | Family Practice | Seattle, WA | 84,516 | $861 |
| 5 | Associated Health Services, Inc. | Ambulatory Surgical Center | Morrisville, NC | 64,325 | $642 |
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