HCPCS J0897

Injection, denosumab, 1 mg (CMS descriptor)

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

10,191
97th percentile among 6,326 codes billed · 2022
$805M
100th percentile among 6,326 codes billed · 2022
47.6M
100th percentile among 6,326 codes billed · 2022
2,640
97th percentile among 6,326 codes billed · 2022
15,180
98th percentile among 6,326 codes billed · 2022
+5.4%
Medicare payment on the code vs 2021; billers +2.1% · 2022

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
Florida1,114$106,611,3516,251,0153,12018,261
California1,013$84,416,7835,021,3493,00016,476
Texas608$45,658,9332,695,3212,64013,201
Pennsylvania521$41,307,5272,440,5642,46014,520
New York489$36,289,0892,144,4102,64012,408
Illinois405$33,679,5021,982,6462,76014,424
Maryland318$32,695,8971,940,2033,39019,707
New Jersey362$30,214,8211,784,8963,12015,089
Virginia346$29,897,1611,769,5413,06014,595
Arizona255$26,576,6151,565,6003,36024,529
North Carolina460$25,896,8801,530,9352,0119,144
Georgia301$23,304,3151,380,8582,40015,960
South Carolina239$20,586,9881,220,3682,76020,340
Alabama221$18,585,7021,104,8062,40017,100
Tennessee240$18,381,8421,085,1062,70015,069

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ609$48,427,2052,865,7832,820
Los Angeles-Long Beach-Anaheim, CA360$26,634,2721,589,5663,006
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD259$24,942,8441,465,0583,540
Chicago-Naperville-Elgin, IL-IN296$24,370,3241,432,9192,820
Washington-Arlington-Alexandria, DC-VA-MD-WV220$22,556,0191,346,4053,840
Miami-Fort Lauderdale-West Palm Beach, FL169$21,562,6311,272,3244,260
Phoenix-Mesa-Chandler, AZ161$15,957,505940,7553,060
Tampa-St. Petersburg-Clearwater, FL149$13,478,867787,0153,240
Dallas-Fort Worth-Arlington, TX193$13,295,358784,8482,160
Baltimore-Columbia-Towson, MD145$13,259,040782,7692,760
North Port-Bradenton-Sarasota, FL95$11,481,656671,9684,081
San Francisco-Oakland-Fremont, CA143$10,766,482652,4583,180
Virginia Beach-Chesapeake-Norfolk, VA-NC98$10,170,731597,3673,750
Atlanta-Sandy Springs-Roswell, GA156$9,505,767565,6242,370
Orlando-Kissimmee-Sanford, FL89$8,792,119514,9383,120

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 97 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 J0897 nationally

Hematology-Oncology accounts for 27% of payment for J0897 nationally in 2022, across 21 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology1,80518%$218,554,63027%12,867,1757,129
Rheumatology1,81418%$192,235,00224%11,346,5066,255
Internal Medicine1,66716%$75,274,6909.4%4,477,8462,686
Endocrinology9859.7%$64,564,9318.0%3,824,4063,883
Nurse Practitioner8798.6%$61,587,0837.7%3,644,4444,146
Medical Oncology5195.1%$59,738,1437.4%3,517,6826,778
Family Practice1,19712%$41,369,1315.1%2,476,7022,069
Physician Assistant3623.6%$25,247,4563.1%1,489,9854,116
Urology3143.1%$24,178,5513.0%1,418,1254,516
Obstetrics & Gynecology2442.4%$10,713,8901.3%636,0692,607
Infectious Disease640.63%$6,109,5440.76%365,1325,705
Hematology420.41%$4,848,8260.60%284,2506,768
Orthopedic Surgery560.55%$4,785,6060.59%291,7295,209
Neurology170.17%$1,876,9480.23%112,8626,639
General Practice210.21%$1,536,4950.19%91,9494,379

Not listed: 23 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 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