HCPCS J0881

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

Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

1,114
87th percentile among 6,405 codes billed · 2023
$46M
96th percentile among 6,405 codes billed · 2023
19.8M
100th percentile among 6,405 codes billed · 2023
12,175
99th percentile among 6,405 codes billed · 2023
53,523
99th percentile among 6,405 codes billed · 2023
-14.3%
Medicare payment on the code vs 2022; billers -0.7% · 2023

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
California81$6,528,1952,777,02619,02090,100
Texas172$4,830,4782,061,9718,92828,246
Maryland62$4,735,2722,028,98430,42374,761
Tennessee71$3,862,0151,650,59319,05056,775
New York83$3,405,0291,447,59113,10043,048
Pennsylvania45$3,269,5851,390,57724,69072,880
Illinois69$2,633,8361,117,97011,60047,018
Virginia75$2,584,7531,100,08610,20040,588
Florida49$1,589,566676,5459,00036,952
Nevada31$1,535,179654,12817,40050,310
Arizona50$1,157,358491,0967,00026,658
New Jersey31$947,569402,3717,18041,566
Missouri13$820,906349,06515,50062,408
Alabama31$746,866319,7367,71525,458
Indiana14$663,265284,06520,08034,740

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ71$3,060,6971,298,98613,100
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD45$2,983,9731,269,45620,820
Washington-Arlington-Alexandria, DC-VA-MD-WV51$2,860,2721,222,93813,020
Chicago-Naperville-Elgin, IL-IN52$2,151,809913,26511,778
Baltimore-Columbia-Towson, MD27$1,937,074828,75331,400
San Diego-Chula Vista-Carlsbad, CA17$1,843,346784,69343,901
Nashville-Davidson--Murfreesboro--Franklin, TN30$1,700,505726,71620,928
Virginia Beach-Chesapeake-Norfolk, VA-NC35$1,686,812716,18114,590
Las Vegas-Henderson-North Las Vegas, NV31$1,535,179654,12817,400
Dallas-Fort Worth-Arlington, TX56$1,306,058557,3609,373
Memphis, TN-MS-AR22$885,900377,94115,138
Houston-Pasadena-The Woodlands, TX28$827,655352,1898,565
San Francisco-Oakland-Fremont, CA14$799,549340,68017,750
Phoenix-Mesa-Chandler, AZ35$708,739300,5465,565
Austin-Round Rock-San Marcos, TX16$595,218253,54512,978

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 27 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing J0881 nationally

Hematology-Oncology accounts for 67% of payment for J0881 nationally in 2023, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology66560%$31,222,25567%13,307,36120,011
Medical Oncology21619%$8,635,00619%3,690,69817,087
Internal Medicine504.5%$2,032,9374.4%866,30817,326
Nephrology978.7%$1,506,3103.2%649,7456,698
Nurse Practitioner403.6%$1,187,8022.6%505,98012,650
Hematology191.7%$1,139,0672.5%484,63125,507

Not listed: 7 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 2023.

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