HCPCS J0881

Injection, darbepoetin alfa, 1 microgram (non-esrd use) (CMS descriptor)

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

1,179
87th percentile among 6,471 codes billed · 2024
$47M
95th percentile among 6,471 codes billed · 2024
20.2M
100th percentile among 6,471 codes billed · 2024
11,915
99th percentile among 6,471 codes billed · 2024
50,050
99th percentile among 6,471 codes billed · 2024
+0.4%
Medicare payment on the code vs 2023; billers +5.8% · 2024

Trend

Medicare payment on the code

$0$50M2020: $75M paid20202021: $61M paid20212022: $54M paid20222023: $46M paid20232024: $47M paid2024$47M$0$50M2020: $75M paid20202021: $61M paid20212022: $54M paid20222023: $46M paid20232024: $47M paid2024$47M$0$50M2020: $75M paid20202021: $61M paid20212022: $54M paid20222023: $46M paid20232024: $47M paid2024$47M$0$50M2020: $75M paid20202021: $61M paid20212022: $54M paid20222023: $46M paid20232024: $47M paid2024$47M

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

Billers

05001,0002020: 1,214 providers20202021: 1,116 providers20212022: 1,122 providers20222023: 1,114 providers20232024: 1,179 providers20241,17905001,0002020: 1,214 providers20202021: 1,116 providers20212022: 1,122 providers20222023: 1,114 providers20232024: 1,179 providers20241,17905001,0002020: 1,214 providers20202021: 1,116 providers20212022: 1,122 providers20222023: 1,114 providers20232024: 1,179 providers20241,17905001,0002020: 1,214 providers20202021: 1,116 providers20212022: 1,122 providers20222023: 1,114 providers20232024: 1,179 providers20241,179

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
20241,179$46,586,077+0%20,179,03811,91550,0500.00
20231,114$46,394,592-14%19,791,12812,17553,5230.00
20221,122$54,134,258-11%21,544,19012,72556,1520.00
20211,116$60,946,574-19%23,235,37514,44061,4250.00
20201,214$75,224,347first year in data25,492,07014,09361,7010.00

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
California98$6,530,4792,821,13518,75581,855
Maryland66$5,151,4712,229,29130,44078,075
Texas172$4,130,6091,793,7018,90224,065
Tennessee79$3,590,1641,558,49118,12544,329
New York75$2,859,5341,242,60014,20036,884
Pennsylvania46$2,797,0841,207,80920,78569,750
Virginia76$2,510,7101,083,43810,35031,148
Florida68$2,478,0511,066,95012,98041,802
Illinois74$2,217,354958,0549,91032,325
New Jersey48$1,916,569821,91610,33050,910
Arizona58$1,284,672552,9037,39332,095
Nevada26$1,204,285521,34319,18543,335
Nebraska21$960,264414,18514,66056,025
Georgia20$929,628407,23516,73540,550
Kansas13$894,278387,01626,55550,429

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
Washington-Arlington-Alexandria, DC-VA-MD-WV54$3,269,1021,414,96114,201
New York-Newark-Jersey City, NY-NJ77$3,149,0841,363,35014,401
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD49$2,655,4731,146,65614,600
Fresno, CA11$2,134,532921,44175,000
Baltimore-Columbia-Towson, MD28$2,022,359872,31033,000
Chicago-Naperville-Elgin, IL-IN52$1,845,942796,43811,033
San Diego-Chula Vista-Carlsbad, CA20$1,779,806769,81540,850
Virginia Beach-Chesapeake-Norfolk, VA-NC37$1,638,520706,98815,800
Nashville-Davidson--Murfreesboro--Franklin, TN32$1,504,844653,68018,520
Las Vegas-Henderson-North Las Vegas, NV26$1,204,285521,34319,185
Dallas-Fort Worth-Arlington, TX55$1,199,084522,8449,365
Jacksonville, FL37$955,768411,3807,600
San Francisco-Oakland-Fremont, CA20$906,484390,25216,922
Memphis, TN-MS-AR22$844,055366,45514,783
Houston-Pasadena-The Woodlands, TX24$727,640314,7219,248

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 26 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 J0881 nationally

Hematology-Oncology accounts for 69% of payment for J0881 nationally in 2024, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology71861%$32,325,26269%13,982,28719,474
Medical Oncology21418%$7,905,76817%3,442,33516,086
Internal Medicine484.1%$1,901,1194.1%821,12517,107
Nephrology1079.1%$1,472,8013.2%642,4406,004
Hematology201.7%$1,249,0472.7%537,60626,880
Nurse Practitioner484.1%$1,138,0352.4%494,76310,308
Physician Assistant110.93%$332,9520.71%145,07213,188

Not listed: 6 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 J0881 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