HCPCS Q0138

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) (CMS descriptor)

Drugs Drug code Work RVU per service none (2024 fee schedule; adds 0 work RVUs)

977
86th percentile among 6,471 codes billed · 2024
$7.3M
86th percentile among 6,471 codes billed · 2024
26.8M
100th percentile among 6,471 codes billed · 2024
18,870
99th percentile among 6,471 codes billed · 2024
81,804
100th percentile among 6,471 codes billed · 2024
-49.4%
Medicare payment on the code vs 2023; billers -21.1% · 2024

Trend

Medicare payment on the code

$0$20M$40M2020: $39M paid20202021: $39M paid20212022: $31M paid20222023: $14M paid20232024: $7.3M paid2024$7.3M$0$20M$40M2020: $39M paid20202021: $39M paid20212022: $31M paid20222023: $14M paid20232024: $7.3M paid2024$7.3M$0$20M$40M2020: $39M paid20202021: $39M paid20212022: $31M paid20222023: $14M paid20232024: $7.3M paid2024$7.3M$0$20M$40M2020: $39M paid20202021: $39M paid20212022: $31M paid20222023: $14M paid20232024: $7.3M paid2024$7.3M

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

Billers

01,0002020: 1,318 providers20202021: 1,372 providers20212022: 1,430 providers20222023: 1,238 providers20232024: 977 providers202497701,0002020: 1,318 providers20202021: 1,372 providers20212022: 1,430 providers20222023: 1,238 providers20232024: 977 providers202497701,0002020: 1,318 providers20202021: 1,372 providers20212022: 1,430 providers20222023: 1,238 providers20232024: 977 providers202497701,0002020: 1,318 providers20202021: 1,372 providers20212022: 1,430 providers20222023: 1,238 providers20232024: 977 providers2024977

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
2024977$7,312,035-49%26,842,03518,87081,8040.00
20231,238$14,460,869-54% (2023 changed hospital and observation visit codes)36,878,19420,91081,5920.00
20221,430$31,290,843-19%48,530,88822,95098,4300.00
20211,372$38,690,739– (Not compared: 2021 changed office visit values)50,700,11025,500109,6500.00
20201,318$38,726,952first year in data47,654,56123,970104,6260.00

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
Florida248$2,814,57310,218,93828,561115,515
Texas147$1,015,1313,730,85019,38070,125
California91$492,5481,813,40817,34042,585
Maryland28$355,6481,318,35023,460129,591
Illinois56$348,4881,282,29115,81053,805
New York45$328,9241,206,91623,46050,694
Nevada28$256,830942,48026,77566,453
Alabama22$154,900601,29021,42078,718
Massachusetts23$139,430516,63015,81068,850
North Carolina17$134,527488,58223,46056,406
Arkansas30$133,615498,78016,32024,480
Michigan16$118,630432,99022,18558,140
Indiana24$112,265427,89016,32033,558
Ohio16$86,867319,26014,53543,733
Washington22$85,456317,27111,73034,731

Not listed: 21 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 2024.

Top metro areas

observed calculated calculated calculated calculated
Tampa-St. Petersburg-Clearwater, FL57$530,0731,920,66323,970
North Port-Bradenton-Sarasota, FL27$437,3681,592,73046,410
Orlando-Kissimmee-Sanford, FL23$290,1111,054,17933,150
Houston-Pasadena-The Woodlands, TX34$260,830956,25020,655
Las Vegas-Henderson-North Las Vegas, NV28$256,830942,48026,775
Baltimore-Columbia-Towson, MD13$233,600870,06036,720
New York-Newark-Jersey City, NY-NJ20$171,345621,18027,540
Los Angeles-Long Beach-Anaheim, CA33$168,666617,05713,770
Cape Coral-Fort Myers, FL19$165,829598,23014,790
Deltona-Daytona Beach-Ormond Beach, FL17$160,206578,88818,877
Chicago-Naperville-Elgin, IL-IN25$151,087558,45113,770
Miami-Fort Lauderdale-West Palm Beach, FL17$150,699550,80020,910
Dallas-Fort Worth-Arlington, TX24$131,245482,46020,145
Peoria, IL18$117,245432,63019,890
Albany-Schenectady-Troy, NY15$87,476323,85023,460

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 27 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing Q0138 nationally

Hematology-Oncology accounts for 69% of payment for Q0138 nationally in 2024, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology62864%$5,069,60969%18,572,66729,574
Medical Oncology19019%$1,466,38920%5,387,14728,353
Internal Medicine495.0%$274,8453.8%1,009,34720,599
Nurse Practitioner323.3%$179,2762.5%684,93021,404
Nephrology181.8%$87,1871.2%321,44617,858
Rheumatology111.1%$31,6220.43%119,34610,850

Not listed: 18 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 2024.

Top billers of Q0138 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