HCPCS J9271

Injection, pembrolizumab, 1 mg (CMS descriptor)

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

1,922
90th percentile among 6,471 codes billed · 2024
$1.24B
100th percentile among 6,471 codes billed · 2024
28.2M
100th percentile among 6,471 codes billed · 2024
12,400
99th percentile among 6,471 codes billed · 2024
31,400
99th percentile among 6,471 codes billed · 2024
+7.6%
Medicare payment on the code vs 2023; billers +4.4% · 2024

Trend

Medicare payment on the code

$0$500M$1.00B2020: $753M paid20202021: $874M paid20212022: $1.05B paid20222023: $1.15B paid20232024: $1.24B paid2024$1.24B$0$500M$1.00B2020: $753M paid20202021: $874M paid20212022: $1.05B paid20222023: $1.15B paid20232024: $1.24B paid2024$1.24B$0$500M$1.00B2020: $753M paid20202021: $874M paid20212022: $1.05B paid20222023: $1.15B paid20232024: $1.24B paid2024$1.24B$0$500M$1.00B2020: $753M paid20202021: $874M paid20212022: $1.05B paid20222023: $1.15B paid20232024: $1.24B paid2024$1.24B

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

Billers

01,0002,0002020: 1,467 providers20202021: 1,548 providers20212022: 1,729 providers20222023: 1,841 providers20232024: 1,922 providers20241,92201,0002,0002020: 1,467 providers20202021: 1,548 providers20212022: 1,729 providers20222023: 1,841 providers20232024: 1,922 providers20241,92201,0002,0002020: 1,467 providers20202021: 1,548 providers20212022: 1,729 providers20222023: 1,841 providers20232024: 1,922 providers20241,92201,0002,0002020: 1,467 providers20202021: 1,548 providers20212022: 1,729 providers20222023: 1,841 providers20232024: 1,922 providers20241,922

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
20241,922$1,242,513,566+8%28,218,85612,40031,4000.00
20231,841$1,154,350,197+10%27,083,04512,40032,6010.00
20221,729$1,047,455,630+20%25,195,37212,40031,6000.00
20211,548$874,037,553+16%21,421,85511,60030,2600.00
20201,467$753,229,592first year in data19,161,47910,83028,9400.00

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
Florida220$170,302,2813,896,16615,40034,850
Texas234$125,979,8692,835,55110,65022,610
California164$109,133,8112,503,59212,80029,940
Illinois105$64,779,1121,469,52113,00027,440
Virginia109$64,208,5191,452,00712,50026,540
Maryland69$54,489,6651,240,73715,20037,560
Arizona93$47,798,4581,081,28810,00024,061
Tennessee61$45,440,7991,022,10014,00031,800
Arkansas41$41,709,346938,90023,00039,800
Pennsylvania53$36,771,697838,56413,40031,480
Alabama43$35,291,747801,83916,00035,634
New York67$32,562,222730,6949,60021,680
Georgia36$29,007,821667,22418,65030,900
New Jersey45$28,585,535643,50111,60026,040
South Carolina35$28,498,422644,16119,00033,140

Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.

Not listed: 18 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
Chicago-Naperville-Elgin, IL-IN73$43,749,743986,21711,200
Dallas-Fort Worth-Arlington, TX88$40,778,684919,2509,000
New York-Newark-Jersey City, NY-NJ62$35,149,052787,50811,500
Los Angeles-Long Beach-Anaheim, CA55$34,049,159808,45713,200
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD42$31,956,219724,76414,400
Baltimore-Columbia-Towson, MD34$31,681,214720,63219,500
Phoenix-Mesa-Chandler, AZ68$31,572,172712,2179,500
Washington-Arlington-Alexandria, DC-VA-MD-WV58$30,959,312706,35010,750
Virginia Beach-Chesapeake-Norfolk, VA-NC36$26,268,355595,20014,800
Little Rock-North Little Rock-Conway, AR19$22,868,850516,40027,400
North Port-Bradenton-Sarasota, FL26$22,435,533508,00017,000
Austin-Round Rock-San Marcos, TX31$21,163,098476,40013,500
Wichita, KS12$19,733,228442,30040,200
Miami-Fort Lauderdale-West Palm Beach, FL23$19,338,999457,84018,400
Memphis, TN-MS-AR21$18,971,800428,50018,200

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 47 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 J9271 nationally

Hematology-Oncology accounts for 72% of payment for J9271 nationally in 2024, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology1,31468%$892,364,73072%20,244,17915,407
Medical Oncology43823%$262,616,04621%5,975,57713,643
Internal Medicine623.2%$37,393,6613.0%847,26613,666
Hematology221.1%$15,501,7711.2%351,66415,985
Gynecological Oncology211.1%$10,515,2450.85%256,37012,208
Nurse Practitioner311.6%$10,387,7520.84%233,5007,532
Physician Assistant170.88%$7,358,2430.59%165,7009,747

Not listed: 8 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 J9271 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