HCPCS J2357

Injection, omalizumab, 5 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

581
82nd percentile among 6,405 codes billed · 2023
$109M
98th percentile among 6,405 codes billed · 2023
3.7M
98th percentile among 6,405 codes billed · 2023
4,710
98th percentile among 6,405 codes billed · 2023
17,297
98th percentile among 6,405 codes billed · 2023
+4.6%
Medicare payment on the code vs 2022; billers +0.7% · 2023

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
Florida51$11,525,879382,6606,09015,346
Texas55$10,459,328350,6134,47520,464
California54$10,328,837353,0634,62019,982
Virginia40$8,497,468282,5125,63211,499
Arizona26$7,724,244256,1527,47726,457
Pennsylvania25$5,985,547199,5336,81019,397
Tennessee39$5,205,890175,5093,73511,103
South Carolina28$5,147,626172,1274,35815,556
New York23$3,375,083113,2794,50210,931
Maryland14$3,298,735109,7844,76326,042
Illinois23$3,065,333103,5163,6308,794
Georgia13$3,014,239100,3555,52022,038
Michigan13$2,888,94996,8116,60019,947
Kansas14$2,631,40987,8874,71013,461
North Carolina20$2,550,55787,5502,85010,290

Not listed: 21 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
Phoenix-Mesa-Chandler, AZ21$6,286,408208,5577,470
Richmond, VA24$4,910,611162,7276,765
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD18$4,536,147151,4876,616
New York-Newark-Jersey City, NY-NJ23$4,070,885137,0644,658
Dallas-Fort Worth-Arlington, TX21$3,346,923111,9503,810
Miami-Fort Lauderdale-West Palm Beach, FL12$3,247,521107,6198,169
Chicago-Naperville-Elgin, IL-IN21$3,171,857107,0054,440
Detroit-Warren-Dearborn, MI12$2,664,80189,3414,823
Los Angeles-Long Beach-Anaheim, CA14$2,430,25780,8772,475
Kansas City, MO-KS14$2,283,84575,6474,868
Knoxville, TN16$1,765,72359,2653,495
Washington-Arlington-Alexandria, DC-VA-MD-WV11$1,625,52553,7034,545
San Francisco-Oakland-Fremont, CA11$1,555,94751,5473,090

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 13 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 J2357 nationally

Allergy/ Immunology accounts for 56% of payment for J2357 nationally in 2023, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Allergy/ Immunology30252%$61,516,37556%2,071,2556,858
Nurse Practitioner15126%$20,709,57019%692,0704,583
Pulmonary Disease406.9%$10,880,66810.0%361,3639,034
Internal Medicine213.6%$4,311,0333.9%143,8596,850
Physician Assistant183.1%$1,618,7341.5%53,9312,996
Hematology-Oncology111.9%$1,392,5451.3%46,0914,190

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 2023.

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