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 (2021 fee schedule; adds 0 work RVUs)

1,372
88th percentile among 6,253 codes billed · 2021
$39M
95th percentile among 6,253 codes billed · 2021
50.7M
100th percentile among 6,253 codes billed · 2021
25,500
100th percentile among 6,253 codes billed · 2021
109,650
100th percentile among 6,253 codes billed · 2021
–
Not compared: 2021 changed office visit values · 2021

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
Florida239$10,636,51713,812,84747,430143,871
Texas224$4,887,9626,440,61319,89078,030
Illinois88$2,426,3413,154,88024,73590,831
Maryland43$2,040,9502,691,78136,210214,251
California102$1,735,1042,263,81917,08546,333
Arkansas32$1,292,8271,703,40054,06083,436
Georgia42$1,175,4431,550,40232,89569,845
Ohio44$1,064,8231,395,36624,99068,366
South Carolina22$1,018,6881,336,71148,706132,575
Alabama34$958,1041,294,43327,03092,284
North Carolina22$922,6691,216,40831,875146,293
Michigan36$922,4141,215,33031,11057,885
Tennessee27$872,4721,148,01022,950127,857
Virginia41$862,5271,132,71027,54047,430
Indiana30$814,6271,077,63031,87564,821

Not listed: 13 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
Tampa-St. Petersburg-Clearwater, FL58$2,487,3953,234,93149,725
Houston-Pasadena-The Woodlands, TX56$1,423,6371,866,14325,500
Chicago-Naperville-Elgin, IL-IN63$1,358,8341,775,84024,480
North Port-Bradenton-Sarasota, FL28$1,306,3611,687,59048,960
Baltimore-Columbia-Towson, MD21$1,224,2641,612,62137,740
Orlando-Kissimmee-Sanford, FL25$1,062,6621,375,98046,410
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD25$786,6271,027,65132,130
Cape Coral-Fort Myers, FL20$745,108969,51033,915
Washington-Arlington-Alexandria, DC-VA-MD-WV21$740,195973,59026,520
Dallas-Fort Worth-Arlington, TX61$726,504958,29014,280
Knoxville, TN13$672,030886,38064,260
Detroit-Warren-Dearborn, MI25$649,473856,80034,170
Peoria, IL20$636,692824,67038,505
Ocala, FL12$614,917804,27050,745
Little Rock-North Little Rock-Conway, AR16$589,681772,14054,060

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 36 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 Q0138 nationally

Hematology-Oncology accounts for 73% of payment for Q0138 nationally in 2021, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology90966%$28,308,04973%37,055,51240,765
Medical Oncology28621%$7,167,36519%9,413,05432,913
Internal Medicine574.2%$1,243,3713.2%1,630,99728,614
Nurse Practitioner392.8%$485,8991.3%638,51916,372
Hematology191.4%$455,3001.2%601,29031,647
Nephrology231.7%$435,6271.1%575,54225,024

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 2021.

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