HCPCS J3262

Injection, tocilizumab, 1 mg (CMS descriptor)

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

722
84th percentile among 6,471 codes billed · 2024
$167M
98th percentile among 6,471 codes billed · 2024
35.8M
100th percentile among 6,471 codes billed · 2024
39,770
100th percentile among 6,471 codes billed · 2024
117,883
100th percentile among 6,471 codes billed · 2024
+18.3%
Medicare payment on the code vs 2023; billers +16.8% · 2024

Trend

Medicare payment on the code

$0$100M2020: $88M paid20202021: $88M paid20212022: $108M paid20222023: $141M paid20232024: $167M paid2024$167M$0$100M2020: $88M paid20202021: $88M paid20212022: $108M paid20222023: $141M paid20232024: $167M paid2024$167M$0$100M2020: $88M paid20202021: $88M paid20212022: $108M paid20222023: $141M paid20232024: $167M paid2024$167M$0$100M2020: $88M paid20202021: $88M paid20212022: $108M paid20222023: $141M paid20232024: $167M paid2024$167M

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

Billers

05002020: 422 providers20202021: 417 providers20212022: 519 providers20222023: 618 providers20232024: 722 providers202472205002020: 422 providers20202021: 417 providers20212022: 519 providers20222023: 618 providers20232024: 722 providers202472205002020: 422 providers20202021: 417 providers20212022: 519 providers20222023: 618 providers20232024: 722 providers202472205002020: 422 providers20202021: 417 providers20212022: 519 providers20222023: 618 providers20232024: 722 providers2024722

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
2024722$166,745,517+18%35,790,55639,770117,8830.00
2023618$140,982,198+30%30,446,77639,364117,7920.00
2022519$108,431,828+24%23,690,00235,240114,1600.00
2021417$87,590,309-0%20,198,64239,240110,9090.00
2020422$87,948,996first year in data21,567,39345,240116,9770.00

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
Florida73$18,301,8213,908,27740,200130,727
California58$13,176,8132,839,35642,960111,362
North Carolina47$10,447,8832,236,00634,200124,937
Texas42$9,857,0592,124,26339,270103,564
Virginia20$9,124,8441,951,89185,000156,570
Pennsylvania35$9,034,9101,926,78942,760166,672
Arizona25$8,790,7791,883,05062,880180,040
South Carolina24$5,595,3591,203,08540,283100,870
New Jersey21$5,091,0641,103,33642,180144,400
Maryland29$4,974,9071,068,73735,35085,432
Oklahoma19$4,715,6931,029,12135,750136,238
New York23$4,093,329883,76733,81073,430
Illinois21$3,897,496830,30735,52187,360
Georgia18$3,876,389826,83442,47681,716
Colorado20$3,521,337754,45030,16082,190

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
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD33$6,947,7301,484,51129,720
Phoenix-Mesa-Chandler, AZ17$6,710,3431,439,82173,600
Richmond, VA11$6,285,0881,345,81085,600
New York-Newark-Jersey City, NY-NJ23$5,926,9691,275,56144,360
Tampa-St. Petersburg-Clearwater, FL14$5,695,7361,212,10057,400
Los Angeles-Long Beach-Anaheim, CA20$4,521,378992,14440,761
Washington-Arlington-Alexandria, DC-VA-MD-WV21$3,174,787685,26027,760
Chicago-Naperville-Elgin, IL-IN17$3,143,907669,66336,064
Minneapolis-St. Paul-Bloomington, MN-WI22$3,009,188649,39722,480
Miami-Fort Lauderdale-West Palm Beach, FL17$2,967,526635,13937,755
Charlotte-Concord-Gastonia, NC-SC16$2,450,240525,25926,770
Denver-Aurora-Centennial, CO14$2,404,416516,80035,380
Kansas City, MO-KS15$2,282,503494,44230,640
North Port-Bradenton-Sarasota, FL12$1,420,245301,83121,027

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 J3262 nationally

Rheumatology accounts for 89% of payment for J3262 nationally in 2024, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Rheumatology58982%$147,587,11489%31,679,16153,785
Internal Medicine375.1%$7,108,4734.3%1,523,24341,169
Nurse Practitioner446.1%$5,525,3383.3%1,185,27826,938
Physician Assistant212.9%$2,258,8991.4%483,67023,032
Hematology-Oncology152.1%$1,711,4851.0%365,05824,337

Not listed: 7 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 J3262 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