HCPCS J3357

Ustekinumab, for subcutaneous injection, 1 mg (CMS descriptor)

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

57
59th percentile among 6,253 codes billed · 2021
$24M
93rd percentile among 6,253 codes billed · 2021
175K
88th percentile among 6,253 codes billed · 2021
2,205
97th percentile among 6,253 codes billed · 2021
6,750
97th percentile among 6,253 codes billed · 2021
–
Not compared: 2021 changed office visit values · 2021

Trend

Medicare payment on the code

$0$20M2020: $34M paid20202021: $24M paid20212022: $3.3M paid2022$3.3M$0$20M2020: $34M paid20202021: $24M paid20212022: $3.3M paid2022$3.3M$0$20M2020: $34M paid20202021: $24M paid20212022: $3.3M paid2022$3.3M$0$20M2020: $34M paid20202021: $24M paid20212022: $3.3M paid2022$3.3M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2022.

Billers

025502020: 66 providers20202021: 57 providers20212022: 15 providers202215025502020: 66 providers20202021: 57 providers20212022: 15 providers202215025502020: 66 providers20202021: 57 providers20212022: 15 providers202215025502020: 66 providers20202021: 57 providers20212022: 15 providers202215

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2022.

observed calculated calculated calculated calculated calculated reported
202215$3,345,351-86%25,4701,3053,9870.00
202157$24,352,963– (Not compared: 2021 changed office visit values)174,7092,2056,7500.00
202066$34,194,686first year in data230,8962,13811,4190.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2022.

By state

observed calculated calculated calculated calculated calculated
Texas12$3,545,17825,5151,6434,331

Not listed: 19 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

No metro area has a reportable line for J3357 in 2021.

Specialties billing J3357 nationally

Rheumatology accounts for 41% of payment for J3357 nationally in 2021, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Rheumatology1730%$9,950,23541%71,5534,209
Nurse Practitioner2646%$8,232,15134%58,9662,268

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 J3357 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