HCPCS J3111

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

Drugs Drug code Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

286
75th percentile among 6,116 codes billed · 2020
$37M
95th percentile among 6,116 codes billed · 2020
5.1M
99th percentile among 6,116 codes billed · 2020
12,863
99th percentile among 6,116 codes billed · 2020
47,198
99th percentile among 6,116 codes billed · 2020

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
Florida48$5,310,015744,16711,65634,797
Texas30$3,023,256424,84110,18527,804
California20$2,867,024402,28319,84537,381
Pennsylvania12$2,359,612329,28218,16576,283
South Carolina14$2,336,051325,29111,65569,678
Arizona15$2,205,408309,00013,44850,327
New York11$1,711,535239,82017,22050,085
Maryland15$1,610,593224,9105,88050,379
Virginia13$1,329,131185,43112,60030,157
Iowa13$1,137,509158,76011,34025,116
North Carolina14$1,085,627151,6208,19027,069

Not listed: 26 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ16$2,182,892305,34015,645
Phoenix-Mesa-Chandler, AZ14$2,109,066295,55213,441
Miami-Fort Lauderdale-West Palm Beach, FL15$1,643,719232,70210,500
Tampa-St. Petersburg-Clearwater, FL12$1,610,353225,12016,485
Washington-Arlington-Alexandria, DC-VA-MD-WV18$1,236,948172,8308,400
Charlotte-Concord-Gastonia, NC-SC11$934,006130,6208,610

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 6 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing J3111 nationally

Rheumatology accounts for 55% of payment for J3111 nationally in 2020, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Rheumatology16056%$20,033,38855%2,802,35917,515
Nurse Practitioner4516%$7,025,98419%983,44121,854
Physician Assistant196.6%$2,197,4296.0%307,86616,203
Internal Medicine196.6%$1,767,2204.8%246,58812,978
Endocrinology124.2%$1,192,4953.3%166,00813,834

Not listed: 10 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 2020.

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