HCPCS J0897

Injection, denosumab, 1 mg (CMS descriptor)

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

9,797
97th percentile among 6,471 codes billed · 2024
$979M
100th percentile among 6,471 codes billed · 2024
48.2M
100th percentile among 6,471 codes billed · 2024
2,760
97th percentile among 6,471 codes billed · 2024
15,366
98th percentile among 6,471 codes billed · 2024
+11.9%
Medicare payment on the code vs 2023; billers -2.6% · 2024

Trend

Medicare payment on the code

$0$500M$1.00B2020: $696M paid20202021: $763M paid20212022: $805M paid20222023: $875M paid20232024: $979M paid2024$979M$0$500M$1.00B2020: $696M paid20202021: $763M paid20212022: $805M paid20222023: $875M paid20232024: $979M paid2024$979M$0$500M$1.00B2020: $696M paid20202021: $763M paid20212022: $805M paid20222023: $875M paid20232024: $979M paid2024$979M$0$500M$1.00B2020: $696M paid20202021: $763M paid20212022: $805M paid20222023: $875M paid20232024: $979M paid2024$979M

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

Billers

05,00010K2020: 9,672 providers20202021: 9,981 providers20212022: 10K providers20222023: 10K providers20232024: 9,797 providers20249,79705,00010K2020: 9,672 providers20202021: 9,981 providers20212022: 10K providers20222023: 10K providers20232024: 9,797 providers20249,79705,00010K2020: 9,672 providers20202021: 9,981 providers20212022: 10K providers20222023: 10K providers20232024: 9,797 providers20249,79705,00010K2020: 9,672 providers20202021: 9,981 providers20212022: 10K providers20222023: 10K providers20232024: 9,797 providers20249,797

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
20249,797$978,864,123+12%48,156,7162,76015,3660.00
202310,057$875,043,253+9%48,034,8932,64015,4800.00
202210,191$804,559,510+5%47,552,6052,64015,1800.00
20219,981$763,317,410+10%46,983,0782,64015,5120.00
20209,672$696,220,853first year in data45,291,4702,64015,4800.00

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
Florida993$126,025,0216,176,9413,54120,616
California1,038$108,052,6725,339,3183,18016,860
Texas646$58,743,5632,885,0812,61013,635
Pennsylvania508$51,710,5782,536,3492,58016,487
New York498$47,322,6542,319,2382,76013,569
Maryland318$45,261,9812,228,9894,23021,063
Illinois379$39,711,7681,948,6182,82016,524
New Jersey390$38,614,2421,895,1533,06014,643
Arizona257$34,742,8791,701,5362,94024,156
Virginia316$32,394,3251,594,0532,76014,355
North Carolina412$29,401,2261,445,5772,01110,741
Georgia293$28,886,0541,426,0252,46014,604
South Carolina242$27,260,3671,343,6522,73019,536
Tennessee245$23,142,5981,137,4452,94012,648
Alabama194$21,380,0671,068,5763,39015,024

Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.

Not listed: 4 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
New York-Newark-Jersey City, NY-NJ643$64,186,4853,147,2192,820
Los Angeles-Long Beach-Anaheim, CA346$35,314,1221,756,0443,638
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD253$30,793,5531,507,4893,840
Washington-Arlington-Alexandria, DC-VA-MD-WV216$29,071,9461,440,5423,840
Chicago-Naperville-Elgin, IL-IN289$28,892,6401,416,7092,700
Miami-Fort Lauderdale-West Palm Beach, FL169$28,579,9591,404,4803,840
Phoenix-Mesa-Chandler, AZ173$21,865,2581,069,4092,520
Baltimore-Columbia-Towson, MD151$19,392,143950,5563,901
Tampa-St. Petersburg-Clearwater, FL151$16,641,212812,8343,420
Dallas-Fort Worth-Arlington, TX183$15,346,303751,6012,340
North Port-Bradenton-Sarasota, FL80$14,317,783701,0015,820
San Francisco-Oakland-Fremont, CA144$12,444,647619,7052,820
Atlanta-Sandy Springs-Roswell, GA154$12,436,324615,6552,490
Houston-Pasadena-The Woodlands, TX125$10,690,676527,7723,060
Orlando-Kissimmee-Sanford, FL71$9,751,215478,3263,960

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 96 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 J0897 nationally

Rheumatology accounts for 26% of payment for J0897 nationally in 2024, across 22 specialties on claims.

observed calculated calculated calculated calculated calculated
Rheumatology1,81118%$252,986,40126%12,422,1416,859
Hematology-Oncology1,73318%$236,049,87824%11,597,1516,692
Nurse Practitioner1,11011%$108,802,78411%5,344,1824,815
Internal Medicine1,47715%$87,939,6189.0%4,345,4692,942
Endocrinology9709.9%$82,734,5728.5%4,068,4934,194
Medical Oncology4514.6%$58,671,7426.0%2,890,9446,410
Family Practice1,02410%$45,097,6044.6%2,235,5892,183
Physician Assistant3673.7%$31,639,7483.2%1,559,2894,249
Urology2612.7%$23,329,5522.4%1,142,5744,378
Obstetrics & Gynecology1861.9%$9,810,4891.0%487,0512,619
Infectious Disease720.73%$7,532,9460.77%371,2275,156
Hematology430.44%$5,908,9660.60%288,8686,718
Orthopedic Surgery460.47%$5,371,5570.55%266,4385,792
Gastroenterology210.21%$2,441,6210.25%120,3145,729
Neurology270.28%$2,229,4910.23%109,2214,045

Not listed: 22 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 J0897 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