HCPCS J0881

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

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

1,122
86th percentile among 6,326 codes billed · 2022
$54M
96th percentile among 6,326 codes billed · 2022
21.5M
100th percentile among 6,326 codes billed · 2022
12,725
99th percentile among 6,326 codes billed · 2022
56,152
99th percentile among 6,326 codes billed · 2022
-11.2%
Medicare payment on the code vs 2021; billers +0.5% · 2022

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
California77$6,905,6052,739,97520,20099,420
Texas162$5,327,0412,123,92210,29034,280
Maryland57$5,297,6402,115,73433,10087,994
Tennessee81$5,176,4472,063,88420,46064,180
New York85$4,629,8311,835,31217,01049,762
Virginia73$3,453,5381,378,42313,15046,200
Pennsylvania47$3,237,1831,284,61623,54072,130
Illinois71$2,998,6831,187,61813,40047,016
Nevada31$1,932,413768,94819,90060,960
Florida44$1,794,793713,02010,08848,775
Arizona53$1,358,025540,3768,42021,144
New Jersey25$1,012,646400,8799,28045,026
Missouri17$930,922370,9207,90057,896
Indiana17$894,041354,20618,20038,728
Ohio24$885,889360,83910,78941,130

Not listed: 19 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

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ68$3,940,0161,560,48618,900
Washington-Arlington-Alexandria, DC-VA-MD-WV45$3,312,2941,321,88117,850
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD42$2,726,2661,081,27016,810
Fresno, CA11$2,719,4701,076,70188,600
Nashville-Davidson--Murfreesboro--Franklin, TN36$2,528,7461,010,20628,390
Virginia Beach-Chesapeake-Norfolk, VA-NC35$2,396,824955,44225,449
Chicago-Naperville-Elgin, IL-IN45$2,247,100889,37114,300
Las Vegas-Henderson-North Las Vegas, NV31$1,932,413768,94819,900
Baltimore-Columbia-Towson, MD23$1,923,278769,41629,180
San Diego-Chula Vista-Carlsbad, CA16$1,899,019755,70040,450
Dallas-Fort Worth-Arlington, TX53$1,348,773537,3818,720
Memphis, TN-MS-AR25$1,091,377433,65310,790
Houston-Pasadena-The Woodlands, TX25$943,077374,6668,440
Phoenix-Mesa-Chandler, AZ38$830,621331,6656,980
San Francisco-Oakland-Fremont, CA12$729,775289,34112,660

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 31 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing J0881 nationally

Hematology-Oncology accounts for 67% of payment for J0881 nationally in 2022, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology66359%$36,162,09467%14,387,49721,701
Medical Oncology22420%$10,883,88720%4,329,11819,326
Internal Medicine504.5%$2,261,7924.2%898,48317,970
Nephrology968.6%$1,631,9253.0%659,1926,867
Nurse Practitioner393.5%$1,245,1602.3%496,35412,727
Hematology171.5%$1,133,2832.1%449,82626,460

Not listed: 9 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 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