HCPCS J0179

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

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

217
73rd percentile among 6,253 codes billed · 2021
$35M
94th percentile among 6,253 codes billed · 2021
140K
87th percentile among 6,253 codes billed · 2021
498
95th percentile among 6,253 codes billed · 2021
1,555
92nd percentile among 6,253 codes billed · 2021
–
Not compared: 2021 changed office visit values · 2021

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
Florida19$2,614,14810,4353781,128
Texas11$2,582,90910,4456002,581
Ohio15$2,340,1219,5345401,154
Arizona11$1,743,4456,9365281,188
New York12$1,603,6406,4614821,194

Not listed: 36 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
New York-Newark-Jersey City, NY-NJ14$1,826,5167,315435

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 1 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 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 2021.

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