HCPCS J3262

Injection, tocilizumab, 1 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

417
79th percentile among 6,253 codes billed · 2021
$88M
97th percentile among 6,253 codes billed · 2021
20.2M
100th percentile among 6,253 codes billed · 2021
39,240
100th percentile among 6,253 codes billed · 2021
110,909
100th percentile among 6,253 codes billed · 2021
-0.4%
Medicare payment on the code vs 2020; billers -1.2% · 2021

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
Florida40$9,392,0622,151,48438,425120,754
California29$6,420,4901,484,72147,240117,077
North Carolina29$5,604,2481,288,67736,00091,827
Pennsylvania19$5,012,4971,138,27268,632111,121
Virginia13$4,421,0111,021,05068,520183,164
Arizona15$4,202,882970,16462,302117,456
South Carolina19$4,056,658936,30042,418111,123
New Jersey18$3,337,796779,66334,42297,111
Texas18$3,181,332743,38940,78078,366
New York13$2,435,311559,21946,68475,630
Colorado15$2,198,473509,46030,44067,312
Maryland17$2,164,144503,45332,28049,290
Oregon14$2,121,400492,24131,79059,614
Minnesota13$2,007,744456,45226,80073,320

Not listed: 28 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 2021.

Top metro areas

observed calculated calculated calculated calculated
Phoenix-Mesa-Chandler, AZ12$3,887,995897,72972,031
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD20$3,409,284779,14132,183
New York-Newark-Jersey City, NY-NJ13$3,105,791722,54243,100
Minneapolis-St. Paul-Bloomington, MN-WI13$2,007,744456,45226,800
Washington-Arlington-Alexandria, DC-VA-MD-WV13$1,448,563338,38624,849
Charlotte-Concord-Gastonia, NC-SC11$1,386,134319,42823,720

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 6 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing J3262 nationally

Rheumatology accounts for 92% of payment for J3262 nationally in 2021, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Rheumatology37891%$80,714,32492%18,625,74649,274
Internal Medicine194.6%$3,354,3413.8%771,24940,592

Not listed: 5 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 2021.

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