HCPCS J9312

Injection, rituximab, 10 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

500
80th percentile among 6,253 codes billed · 2021
$140M
98th percentile among 6,253 codes billed · 2021
2.0M
97th percentile among 6,253 codes billed · 2021
3,215
98th percentile among 6,253 codes billed · 2021
8,708
98th percentile among 6,253 codes billed · 2021
-42.2%
Medicare payment on the code vs 2020; billers -46.5% · 2021

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
Florida51$15,682,642226,6343,65010,685
California34$12,992,069187,1103,64512,023
North Carolina25$6,900,44298,9783,0007,220
Texas23$6,885,55999,1823,9008,828
New York31$6,774,48795,8362,8106,627
South Carolina24$6,470,53793,2772,8309,442
Colorado23$5,703,25081,3002,8007,720
Arizona22$5,574,81680,1443,4756,229
Oregon17$4,884,61571,7592,9058,934
Georgia12$4,016,23257,0784,8257,653
Illinois23$3,945,92655,9202,2004,462
Pennsylvania15$3,858,99854,9602,9007,186
Maryland14$3,831,69955,7563,2057,603
Arkansas13$3,410,26948,2332,0208,686
Missouri11$3,031,86544,6393,2549,850

Not listed: 29 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ25$5,611,88380,3502,810
Charlotte-Concord-Gastonia, NC-SC15$4,142,50859,8172,900
Phoenix-Mesa-Chandler, AZ14$4,073,14058,7013,780
Chicago-Naperville-Elgin, IL-IN20$3,501,14249,2182,040
Denver-Aurora-Centennial, CO16$3,058,22943,3202,625
North Port-Bradenton-Sarasota, FL12$2,343,85533,4183,075

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 2021.

Specialties billing J9312 nationally

Rheumatology accounts for 75% of payment for J9312 nationally in 2021, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Rheumatology34970%$104,975,99575%1,516,7364,346
Hematology-Oncology8216%$17,549,52813%248,0633,025
Internal Medicine173.4%$4,253,9423.0%61,0083,589
Medical Oncology204.0%$3,803,6242.7%53,5042,675
Nurse Practitioner163.2%$3,139,5992.3%45,4392,840

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 2021.

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