HCPCS J2357

Injection, omalizumab, 5 mg (CMS descriptor)

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

617
82nd percentile among 6,471 codes billed · 2024
$113M
98th percentile among 6,471 codes billed · 2024
3.9M
98th percentile among 6,471 codes billed · 2024
4,785
98th percentile among 6,471 codes billed · 2024
16,980
98th percentile among 6,471 codes billed · 2024
+3.8%
Medicare payment on the code vs 2023; billers +6.2% · 2024

Trend

Medicare payment on the code

$0$50M$100M2020: $99M paid20202021: $102M paid20212022: $104M paid20222023: $109M paid20232024: $113M paid2024$113M$0$50M$100M2020: $99M paid20202021: $102M paid20212022: $104M paid20222023: $109M paid20232024: $113M paid2024$113M$0$50M$100M2020: $99M paid20202021: $102M paid20212022: $104M paid20222023: $109M paid20232024: $113M paid2024$113M$0$50M$100M2020: $99M paid20202021: $102M paid20212022: $104M paid20222023: $109M paid20232024: $113M paid2024$113M

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

Billers

02505002020: 511 providers20202021: 503 providers20212022: 577 providers20222023: 581 providers20232024: 617 providers202461702505002020: 511 providers20202021: 503 providers20212022: 577 providers20222023: 581 providers20232024: 617 providers202461702505002020: 511 providers20202021: 503 providers20212022: 577 providers20222023: 581 providers20232024: 617 providers202461702505002020: 511 providers20202021: 503 providers20212022: 577 providers20222023: 581 providers20232024: 617 providers2024617

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
2024617$113,422,267+4%3,851,8014,78516,9800.00
2023581$109,266,994+5%3,663,7234,71017,2970.00
2022577$104,463,833+2%3,547,7084,39516,3260.00
2021503$102,312,137+3%3,461,2135,11518,4340.00
2020511$99,168,050first year in data3,385,9534,84518,8420.00

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
Florida60$13,044,706437,9876,28516,285
Texas59$10,303,206350,4574,51518,118
California51$9,330,157330,3574,14017,149
Virginia43$9,306,029312,9795,98716,842
Arizona25$8,092,436271,3089,48027,527
South Carolina38$6,233,910210,8754,17813,538
Pennsylvania27$6,206,924208,3965,80519,457
Tennessee44$5,656,484191,9463,41312,377
Maryland13$3,332,381112,9975,64027,304
Kansas14$2,958,98699,3235,46813,349
Massachusetts11$2,897,14597,2765,01128,118
Michigan11$2,654,18489,2729,00017,708
Illinois22$2,648,20091,0703,0999,692
New York15$2,644,96889,0526,27011,843
North Carolina24$2,534,87789,7973,3156,822

Not listed: 24 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
Phoenix-Mesa-Chandler, AZ22$6,897,790231,2267,139
Richmond, VA26$5,608,408188,1936,668
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD19$4,519,251152,0065,627
New York-Newark-Jersey City, NY-NJ21$4,092,267138,6444,891
Dallas-Fort Worth-Arlington, TX24$3,735,831128,0194,680
Miami-Fort Lauderdale-West Palm Beach, FL12$3,472,848116,2628,378
Chicago-Naperville-Elgin, IL-IN21$2,867,32598,0903,390
Los Angeles-Long Beach-Anaheim, CA13$2,620,09487,9834,140
Kansas City, MO-KS12$2,424,81881,2855,468
Tampa-St. Petersburg-Clearwater, FL11$2,378,14180,2495,340
Washington-Arlington-Alexandria, DC-VA-MD-WV11$1,804,44060,4954,740
Charleston-North Charleston, SC15$1,511,99350,6273,660
Knoxville, TN18$1,494,01750,6552,385
Austin-Round Rock-San Marcos, TX11$1,124,84139,0002,805

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 14 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 J2357 nationally

Allergy/ Immunology accounts for 61% of payment for J2357 nationally in 2024, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Allergy/ Immunology33354%$68,674,72661%2,340,6977,029
Nurse Practitioner16827%$21,943,66219%740,4384,407
Pulmonary Disease325.2%$8,199,0447.2%275,7688,618
Internal Medicine182.9%$3,622,9983.2%122,9776,832
Physician Assistant162.6%$1,602,6621.4%54,0793,380
Hematology-Oncology142.3%$1,482,7121.3%50,3703,598

Not listed: 14 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 J2357 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