HCPCS J9312

Injection, rituximab, 10 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

317
77th percentile among 6,405 codes billed · 2023
$74M
97th percentile among 6,405 codes billed · 2023
1.2M
96th percentile among 6,405 codes billed · 2023
3,100
97th percentile among 6,405 codes billed · 2023
7,712
97th percentile among 6,405 codes billed · 2023
-21.0%
Medicare payment on the code vs 2022; billers -12.9% · 2023

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
Florida32$8,101,097129,4943,7268,122
California16$6,114,35999,6474,36816,333
Texas21$5,217,58184,9273,8307,411
South Carolina22$4,261,54568,0802,3426,870
Georgia11$3,381,24754,5234,6208,157
North Carolina18$3,204,99851,5992,0655,206
Arizona15$3,189,45750,9923,2504,853
New York18$3,149,35450,3602,5505,694
Pennsylvania13$2,495,44739,7722,3306,236
Colorado11$2,129,07933,8513,0005,376

Not listed: 34 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 2023.

Top metro areas

observed calculated calculated calculated calculated
Phoenix-Mesa-Chandler, AZ11$2,538,08840,5363,776
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD12$2,222,81535,4222,290
New York-Newark-Jersey City, NY-NJ12$2,080,15033,2862,125

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 3 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing J9312 nationally

Rheumatology accounts for 83% of payment for J9312 nationally in 2023, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Rheumatology25179%$61,744,63283%996,6323,971
Hematology-Oncology278.5%$3,998,7335.4%63,0652,336
Nurse Practitioner134.1%$2,112,7902.8%33,7002,592

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 2023.

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