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 (2023 fee schedule; adds 0 work RVUs)

1,221
88th percentile among 6,405 codes billed · 2023
$429M
99th percentile among 6,405 codes billed · 2023
12.9M
99th percentile among 6,405 codes billed · 2023
8,125
99th percentile among 6,405 codes billed · 2023
27,505
99th percentile among 6,405 codes billed · 2023
-0.8%
Medicare payment on the code vs 2022; billers +2.3% · 2023

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
Florida130$50,283,6421,506,0979,35033,430
Texas103$40,492,1141,215,7369,95030,022
North Carolina68$26,734,407798,2669,52527,545
California79$24,116,662733,1656,60826,126
Pennsylvania59$20,874,317622,3317,90025,249
South Carolina44$18,664,546561,3069,63833,780
Arizona32$15,822,776471,30414,70130,084
Kentucky31$12,878,475386,5699,70025,300
Maryland44$12,770,117382,4266,06320,632
Virginia31$12,626,123376,80510,45024,713
New Jersey41$12,178,387364,3727,60020,900
New York41$11,023,767329,1696,82515,626
Illinois47$10,921,049325,3446,47516,250
Tennessee30$10,883,242324,3008,81320,396
Indiana27$10,559,193317,44010,62524,706

Not listed: 17 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
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD53$15,425,252458,5906,050
Houston-Pasadena-The Woodlands, TX28$13,699,705408,63212,048
New York-Newark-Jersey City, NY-NJ41$13,696,012409,9648,175
Phoenix-Mesa-Chandler, AZ22$11,428,421340,62715,613
Miami-Fort Lauderdale-West Palm Beach, FL33$9,746,314296,7227,700
Chicago-Naperville-Elgin, IL-IN38$9,404,853280,7196,700
Tampa-St. Petersburg-Clearwater, FL27$9,097,791270,6009,825
Baltimore-Columbia-Towson, MD22$8,142,938243,3918,641
Charlotte-Concord-Gastonia, NC-SC24$7,773,422232,3159,338
San Antonio-New Braunfels, TX12$7,566,107230,37517,363
North Port-Bradenton-Sarasota, FL13$6,883,379204,36412,488
Los Angeles-Long Beach-Anaheim, CA26$5,927,157190,6556,163
Washington-Arlington-Alexandria, DC-VA-MD-WV25$5,678,647170,3904,950
Minneapolis-St. Paul-Bloomington, MN-WI23$5,585,846166,3265,325
Virginia Beach-Chesapeake-Norfolk, VA-NC12$5,466,071162,85010,813

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 26 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 J0129 nationally

Rheumatology accounts for 88% of payment for J0129 nationally in 2023, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Rheumatology97780%$376,290,89188%11,273,96211,539
Internal Medicine736.0%$24,187,7225.6%724,5089,925
Nurse Practitioner897.3%$14,796,4033.4%442,7764,975
Hematology-Oncology332.7%$4,434,0981.0%132,3284,010
Physician Assistant171.4%$3,028,2490.71%90,1765,304
Family Practice120.98%$1,529,7190.36%45,5253,794

Not listed: 10 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 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