HCPCS J0129

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) (CMS descriptor)

Drugs Drug code Work RVU per service none (2024 fee schedule; adds 0 work RVUs)

1,247
88th percentile among 6,471 codes billed · 2024
$440M
99th percentile among 6,471 codes billed · 2024
13.1M
99th percentile among 6,471 codes billed · 2024
8,300
99th percentile among 6,471 codes billed · 2024
27,285
99th percentile among 6,471 codes billed · 2024
+2.6%
Medicare payment on the code vs 2023; billers +2.1% · 2024

Trend

Medicare payment on the code

$0$200M$400M2020: $491M paid20202021: $495M paid20212022: $433M paid20222023: $429M paid20232024: $440M paid2024$440M$0$200M$400M2020: $491M paid20202021: $495M paid20212022: $433M paid20222023: $429M paid20232024: $440M paid2024$440M$0$200M$400M2020: $491M paid20202021: $495M paid20212022: $433M paid20222023: $429M paid20232024: $440M paid2024$440M$0$200M$400M2020: $491M paid20202021: $495M paid20212022: $433M paid20222023: $429M paid20232024: $440M paid2024$440M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

05001,0002020: 1,037 providers20202021: 1,147 providers20212022: 1,193 providers20222023: 1,221 providers20232024: 1,247 providers20241,24705001,0002020: 1,037 providers20202021: 1,147 providers20212022: 1,193 providers20222023: 1,221 providers20232024: 1,247 providers20241,24705001,0002020: 1,037 providers20202021: 1,147 providers20212022: 1,193 providers20222023: 1,221 providers20232024: 1,247 providers20241,24705001,0002020: 1,037 providers20202021: 1,147 providers20212022: 1,193 providers20222023: 1,221 providers20232024: 1,247 providers20241,247

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
20241,247$440,285,869+3%13,105,1628,30027,2850.00
20231,221$429,252,262-1%12,857,9508,12527,5050.00
20221,193$432,792,602-13%12,592,7188,17527,0150.00
20211,147$494,732,891+1%12,181,7728,47527,3580.00
20201,037$490,770,177first year in data11,127,5638,42526,7370.00

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
Florida136$50,658,6671,511,1597,68833,913
Texas108$43,883,2041,306,87710,80027,546
North Carolina70$26,780,854796,4889,98827,224
California76$25,906,301774,2617,14631,281
Pennsylvania64$20,785,924614,8387,37529,120
South Carolina40$19,206,547574,11114,22834,754
Arizona32$15,466,760458,96513,77528,268
Maryland44$13,464,469402,4827,31321,013
Virginia32$13,312,958394,1779,96329,014
Kentucky33$12,403,063370,1278,90026,045
Illinois46$11,882,310352,9057,17514,925
New Jersey33$11,719,231348,4947,17525,174
New York37$11,448,625339,2057,70019,625
Georgia25$11,129,996330,62410,50125,692
Oklahoma31$10,960,316326,4118,10026,575

Not listed: 20 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 2024.

Top metro areas

observed calculated calculated calculated calculated
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD53$15,318,312453,0696,025
Houston-Pasadena-The Woodlands, TX29$14,070,871416,89511,700
New York-Newark-Jersey City, NY-NJ36$13,966,045414,1949,975
Phoenix-Mesa-Chandler, AZ20$11,400,405338,03715,890
Chicago-Naperville-Elgin, IL-IN38$9,937,300295,2257,175
Miami-Fort Lauderdale-West Palm Beach, FL35$9,796,071296,5526,400
Tampa-St. Petersburg-Clearwater, FL25$9,418,681278,0009,950
Baltimore-Columbia-Towson, MD23$8,713,163259,9478,100
San Antonio-New Braunfels, TX12$8,682,111260,40120,850
Charlotte-Concord-Gastonia, NC-SC23$7,429,943220,8789,550
North Port-Bradenton-Sarasota, FL14$6,778,912201,69013,050
Oklahoma City, OK15$6,180,695183,78611,557
Minneapolis-St. Paul-Bloomington, MN-WI34$6,169,687182,7003,225
St. Louis, MO-IL11$6,131,201182,25018,050
Los Angeles-Long Beach-Anaheim, CA23$6,071,820186,8036,775

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 28 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing J0129 nationally

Rheumatology accounts for 86% of payment for J0129 nationally in 2024, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Rheumatology96677%$378,713,01886%11,272,64811,669
Internal Medicine655.2%$23,048,0045.2%686,55510,562
Nurse Practitioner1139.1%$19,778,7274.5%588,6195,209
Physician Assistant332.6%$4,851,1741.1%144,6764,384
Hematology-Oncology282.2%$4,844,0411.1%144,0505,145
Family Practice151.2%$1,952,3910.44%57,9753,865

Not listed: 12 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 2024.

Top billers of J0129 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