HCPCS J0179

Injection, brolucizumab-dbll, 1 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

501
80th percentile among 6,116 codes billed · 2020
$69M
97th percentile among 6,116 codes billed · 2020
276K
91st percentile among 6,116 codes billed · 2020
384
94th percentile among 6,116 codes billed · 2020
1,698
93rd percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$50M2020: $69M paid20202021: $35M paid20212022: $20M paid20222023: $8.0M paid20232024: $4.3M paid2024$4.3M$0$50M2020: $69M paid20202021: $35M paid20212022: $20M paid20222023: $8.0M paid20232024: $4.3M paid2024$4.3M$0$50M2020: $69M paid20202021: $35M paid20212022: $20M paid20222023: $8.0M paid20232024: $4.3M paid2024$4.3M$0$50M2020: $69M paid20202021: $35M paid20212022: $20M paid20222023: $8.0M paid20232024: $4.3M paid2024$4.3M

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

Billers

02004002020: 501 providers20202021: 217 providers20212022: 158 providers20222023: 64 providers20232024: 31 providers20243102004002020: 501 providers20202021: 217 providers20212022: 158 providers20222023: 64 providers20232024: 31 providers20243102004002020: 501 providers20202021: 217 providers20212022: 158 providers20222023: 64 providers20232024: 31 providers20243102004002020: 501 providers20202021: 217 providers20212022: 158 providers20222023: 64 providers20232024: 31 providers202431

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
202431$4,289,134-46%16,7273661,2900.00
202364$7,995,011-60% (2023 changed hospital and observation visit codes)32,5754051,0300.00
2022158$20,065,864-42%82,0473991,2480.00
2021217$34,837,963– (Not compared: 2021 changed office visit values)140,4624981,5550.00
2020501$68,527,884first year in data276,2573841,6980.00

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
Florida49$6,262,53125,1973901,408
Ohio30$5,154,57020,7655712,012
Texas32$4,065,25716,5373121,240
Arizona16$3,421,96113,6678371,675
New York28$3,237,43013,010412888
North Carolina17$2,913,91911,6904381,883
California29$2,803,71011,236336878
Virginia15$2,625,70110,5874441,982
New Jersey21$2,266,3659,0622921,134
Georgia11$2,133,9928,6035591,782
Washington11$2,121,6898,5093362,418
Nebraska11$2,119,9628,5594202,398
Indiana13$2,001,0797,9874921,312
Illinois17$1,668,6396,703372935
Pennsylvania11$1,535,5386,1583541,483

Not listed: 30 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ36$4,102,29616,458392
Cincinnati, OH-KY-IN11$2,322,1179,349583
North Port-Bradenton-Sarasota, FL11$2,277,0809,138672
Dallas-Fort Worth-Arlington, TX15$1,675,1806,902312
Chicago-Naperville-Elgin, IL-IN14$1,114,5814,471303

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 5 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing J0179 nationally

observed calculated calculated calculated calculated calculated

Not listed: 2 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 2020.

Top billers of J0179 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