HCPCS J0179

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

Drugs Drug code Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

158
70th percentile among 6,326 codes billed · 2022
$20M
92nd percentile among 6,326 codes billed · 2022
82K
84th percentile among 6,326 codes billed · 2022
399
94th percentile among 6,326 codes billed · 2022
1,248
89th percentile among 6,326 codes billed · 2022
-42.4%
Medicare payment on the code vs 2021; billers -27.2% · 2022

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
Ohio14$1,366,2005,665393676
Texas11$1,180,0874,790396793
Florida12$1,143,2734,710345724

Not listed: 38 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 2022.

Top metro areas

No metro area has a reportable line for J0179 in 2022.

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 2022.

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