HCPCS J3111

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

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

742
83rd percentile among 6,326 codes billed · 2022
$108M
98th percentile among 6,326 codes billed · 2022
14.4M
99th percentile among 6,326 codes billed · 2022
13,860
99th percentile among 6,326 codes billed · 2022
53,741
99th percentile among 6,326 codes billed · 2022
+58.0%
Medicare payment on the code vs 2021; billers +48.7% · 2022

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
Florida117$16,822,9832,250,35014,07048,552
California84$12,835,5061,723,70013,54652,657
Texas63$8,517,0191,142,40816,59051,093
Illinois28$8,274,8431,106,13218,79599,826
Pennsylvania46$6,167,564824,43613,75530,975
Arizona32$4,245,647566,91014,91042,777
Ohio12$3,979,453532,14512,705173,629
Maryland28$3,926,647524,99513,23056,983
New York19$3,901,954521,34116,71168,607
South Carolina29$3,665,908491,10810,29038,065
Colorado30$3,269,108438,06511,23532,014
Virginia21$3,061,995412,02213,65038,535
North Carolina25$2,575,504344,61611,86828,896
Indiana18$2,250,862300,32117,22028,686
Oklahoma16$2,241,717298,26413,96654,495

Not listed: 25 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
Miami-Fort Lauderdale-West Palm Beach, FL43$6,598,378886,05415,120
Chicago-Naperville-Elgin, IL-IN21$5,036,068673,42720,162
New York-Newark-Jersey City, NY-NJ28$4,811,181642,54414,971
Los Angeles-Long Beach-Anaheim, CA31$3,638,621491,82413,230
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD24$3,633,570485,49613,020
Phoenix-Mesa-Chandler, AZ24$3,397,412454,24515,225
Washington-Arlington-Alexandria, DC-VA-MD-WV27$3,295,249442,26113,860
Houston-Pasadena-The Woodlands, TX20$3,195,626426,09718,063
Tampa-St. Petersburg-Clearwater, FL24$2,962,425397,1109,975
North Port-Bradenton-Sarasota, FL15$1,906,419253,53110,500
Dallas-Fort Worth-Arlington, TX16$1,695,499225,9607,665
Charleston-North Charleston, SC11$1,624,684218,19010,080
Austin-Round Rock-San Marcos, TX11$1,144,133153,51115,330
Denver-Aurora-Centennial, CO14$1,045,375140,07110,605

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 14 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 J3111 nationally

Rheumatology accounts for 47% of payment for J3111 nationally in 2022, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Rheumatology37050%$50,535,41347%6,778,78018,321
Nurse Practitioner14419%$22,692,75721%3,036,33721,086
Endocrinology628.4%$8,900,7608.3%1,191,35819,215
Physician Assistant385.1%$5,964,9065.5%799,22121,032
Internal Medicine486.5%$5,277,6724.9%706,07414,710
Family Practice202.7%$3,870,0043.6%517,77525,889
Orthopedic Surgery172.3%$2,606,3692.4%347,97620,469
Hematology-Oncology131.8%$1,794,6851.7%240,45118,496

Not listed: 16 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 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