HCPCS J3111

Injection, romosozumab-aqqg, 1 mg (CMS descriptor)

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

1,339
88th percentile among 6,471 codes billed · 2024
$241M
99th percentile among 6,471 codes billed · 2024
28.4M
100th percentile among 6,471 codes billed · 2024
14,490
99th percentile among 6,471 codes billed · 2024
60,711
99th percentile among 6,471 codes billed · 2024
+45.8%
Medicare payment on the code vs 2023; billers +38.0% · 2024

Trend

Medicare payment on the code

$0$100M$200M2020: $37M paid20202021: $68M paid20212022: $108M paid20222023: $166M paid20232024: $241M paid2024$241M$0$100M$200M2020: $37M paid20202021: $68M paid20212022: $108M paid20222023: $166M paid20232024: $241M paid2024$241M$0$100M$200M2020: $37M paid20202021: $68M paid20212022: $108M paid20222023: $166M paid20232024: $241M paid2024$241M$0$100M$200M2020: $37M paid20202021: $68M paid20212022: $108M paid20222023: $166M paid20232024: $241M paid2024$241M

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

Billers

05001,0002020: 286 providers20202021: 499 providers20212022: 742 providers20222023: 970 providers20232024: 1,339 providers20241,33905001,0002020: 286 providers20202021: 499 providers20212022: 742 providers20222023: 970 providers20232024: 1,339 providers20241,33905001,0002020: 286 providers20202021: 499 providers20212022: 742 providers20222023: 970 providers20232024: 1,339 providers20241,33905001,0002020: 286 providers20202021: 499 providers20212022: 742 providers20222023: 970 providers20232024: 1,339 providers20241,339

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
20241,339$241,453,680+46%28,416,63414,49060,7110.00
2023970$165,655,972+54%21,005,98015,12058,7470.00
2022742$107,565,003+58%14,408,67913,86053,7410.00
2021499$68,077,807+86%9,337,61413,96644,3940.00
2020286$36,589,755first year in data5,119,67512,86347,1980.00

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
Florida169$32,717,9273,852,08816,17153,047
California152$28,901,7623,396,58616,62053,908
Texas124$21,463,6982,523,39617,01047,660
Pennsylvania83$16,274,0011,907,75014,91065,205
Illinois48$11,963,4191,404,35814,18173,930
Arizona52$9,596,5531,173,97616,80065,226
Maryland41$9,209,4361,084,50216,59067,410
South Carolina45$8,190,781959,92613,44050,778
New York39$7,298,252855,14114,49070,235
Tennessee39$6,632,210776,90913,86049,287
Colorado48$6,572,305769,23110,71050,422
Virginia32$6,459,235760,09815,64576,429
Georgia27$5,903,834690,80415,54067,158
North Carolina48$5,821,213685,23112,07532,119
New Jersey41$5,403,299631,39112,39038,010

Not listed: 20 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
Miami-Fort Lauderdale-West Palm Beach, FL50$13,598,8601,609,04026,566
New York-Newark-Jersey City, NY-NJ60$10,590,0911,238,51714,805
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD54$10,073,4051,178,31511,340
Los Angeles-Long Beach-Anaheim, CA50$7,743,304911,99315,855
Phoenix-Mesa-Chandler, AZ43$7,664,144937,03615,960
Washington-Arlington-Alexandria, DC-VA-MD-WV38$7,576,664891,76820,475
Chicago-Naperville-Elgin, IL-IN38$7,201,206844,63913,231
Houston-Pasadena-The Woodlands, TX39$6,599,647779,10616,385
Tampa-St. Petersburg-Clearwater, FL42$6,584,719771,64812,705
Dallas-Fort Worth-Arlington, TX29$4,681,161549,15015,540
Charleston-North Charleston, SC15$3,411,952399,42020,790
North Port-Bradenton-Sarasota, FL21$3,157,293371,4179,870
San Antonio-New Braunfels, TX16$2,757,361323,82816,905
Austin-Round Rock-San Marcos, TX15$2,721,640318,57122,680
Denver-Aurora-Centennial, CO29$2,690,778313,95010,500

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 28 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 J3111 nationally

Rheumatology accounts for 44% of payment for J3111 nationally in 2024, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Rheumatology56842%$105,466,47244%12,434,53921,892
Nurse Practitioner31524%$58,707,40924%6,888,69021,869
Endocrinology1279.5%$21,061,0048.7%2,482,36419,546
Internal Medicine775.8%$14,650,2286.1%1,727,89222,440
Physician Assistant685.1%$10,551,5954.4%1,240,17718,238
Family Practice312.3%$6,499,3152.7%766,93624,740
Hematology-Oncology392.9%$5,509,1682.3%646,28816,571
Orthopedic Surgery221.6%$3,414,3011.4%404,25218,375
Infectious Disease141.0%$1,661,2470.69%195,30013,950
Hematology171.3%$522,2260.22%60,6923,570

Not listed: 20 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 J3111 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