HCPCS J9312

Injection, rituximab, 10 mg (CMS descriptor)

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

935
85th percentile among 6,116 codes billed · 2020
$241M
99th percentile among 6,116 codes billed · 2020
3.3M
98th percentile among 6,116 codes billed · 2020
2,920
98th percentile among 6,116 codes billed · 2020
7,638
97th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$100M$200M2020: $241M paid20202021: $140M paid20212022: $94M paid20222023: $74M paid20232024: $77M paid2024$77M$0$100M$200M2020: $241M paid20202021: $140M paid20212022: $94M paid20222023: $74M paid20232024: $77M paid2024$77M$0$100M$200M2020: $241M paid20202021: $140M paid20212022: $94M paid20222023: $74M paid20232024: $77M paid2024$77M$0$100M$200M2020: $241M paid20202021: $140M paid20212022: $94M paid20222023: $74M paid20232024: $77M paid2024$77M

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

Billers

05001,0002020: 935 providers20202021: 500 providers20212022: 364 providers20222023: 317 providers20232024: 336 providers202433605001,0002020: 935 providers20202021: 500 providers20212022: 364 providers20222023: 317 providers20232024: 336 providers202433605001,0002020: 935 providers20202021: 500 providers20212022: 364 providers20222023: 317 providers20232024: 336 providers202433605001,0002020: 935 providers20202021: 500 providers20212022: 364 providers20222023: 317 providers20232024: 336 providers2024336

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
2024336$76,913,551+3%1,277,5883,2008,2760.00
2023317$74,353,284-21%1,198,2273,1007,7120.00
2022364$94,170,429-33%1,446,2683,3008,3570.00
2021500$139,520,861-42%2,009,3513,2158,7080.00
2020935$241,413,523first year in data3,318,8752,9207,6380.00

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
Florida126$34,582,905476,1613,0608,745
California69$23,358,269317,4923,15011,328
Texas50$12,696,641175,7033,0706,976
South Carolina35$9,475,840133,0383,1009,195
North Carolina34$9,137,166126,1833,1618,015
Illinois46$8,908,355121,7012,4705,182
New York38$8,512,234115,0642,6186,263
Arizona36$8,182,572111,8382,5446,831
Arkansas28$7,732,989105,4392,9658,960
Colorado27$7,392,946102,9013,1008,112
Missouri38$7,256,52698,5941,9014,844
Maryland26$6,714,44592,0212,9256,052
Georgia23$6,470,05488,2043,3407,240
Pennsylvania29$6,433,52887,8212,7705,908
Virginia32$6,304,79086,8022,0915,284

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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ34$7,936,029107,6762,740
Phoenix-Mesa-Chandler, AZ26$6,282,22585,9442,531
Chicago-Naperville-Elgin, IL-IN33$6,209,31884,9122,661
Tampa-St. Petersburg-Clearwater, FL14$5,849,46979,4403,640
Miami-Fort Lauderdale-West Palm Beach, FL21$5,791,16079,7473,030
Los Angeles-Long Beach-Anaheim, CA16$5,463,72875,2414,006
St. Louis, MO-IL25$5,101,84169,6271,921
Charlotte-Concord-Gastonia, NC-SC17$4,943,96168,9763,200
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD18$4,538,32862,2543,115
Minneapolis-St. Paul-Bloomington, MN-WI19$4,185,25856,8922,850
North Port-Bradenton-Sarasota, FL16$4,171,35956,5693,170
Denver-Aurora-Centennial, CO19$4,051,82956,7102,900
Washington-Arlington-Alexandria, DC-VA-MD-WV21$3,507,33748,5081,730
Orlando-Kissimmee-Sanford, FL13$3,410,79947,0633,100
Jacksonville, FL17$3,115,95543,6141,810

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 22 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 J9312 nationally

Rheumatology accounts for 51% of payment for J9312 nationally in 2020, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Rheumatology39242%$124,014,78151%1,720,1324,388
Hematology-Oncology35238%$74,291,17531%1,009,9162,869
Medical Oncology11612%$23,922,3999.9%324,7402,799
Internal Medicine262.8%$6,035,9462.5%82,9943,192
Nurse Practitioner212.2%$5,264,7732.2%72,0933,433
Hematology111.2%$2,013,8900.83%27,1982,473

Not listed: 11 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 J9312 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