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 (2022 fee schedule; adds 0 work RVUs)

1,430
88th percentile among 6,326 codes billed · 2022
$31M
94th percentile among 6,326 codes billed · 2022
48.5M
100th percentile among 6,326 codes billed · 2022
22,950
100th percentile among 6,326 codes billed · 2022
98,430
100th percentile among 6,326 codes billed · 2022
-19.1%
Medicare payment on the code vs 2021; billers +4.2% · 2022

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
Florida265$9,267,49114,234,62542,330144,330
Texas230$4,106,3516,386,79118,87070,890
Illinois93$1,879,5062,885,58023,46075,072
California116$1,754,5572,690,38517,59559,415
Maryland44$1,425,2442,176,17023,970179,316
Arkansas37$1,222,6851,964,52045,390104,142
Virginia64$914,3221,523,37121,42056,635
Georgia39$778,7231,203,60129,07058,446
Alabama29$752,1651,226,55426,010133,416
Ohio41$749,4721,141,38124,48054,570
New York47$735,6991,153,62022,44046,002
Michigan32$725,6621,145,97031,11064,872
Tennessee20$621,337927,75924,735110,594
Pennsylvania28$613,009948,09024,48074,766
North Carolina26$597,570923,11512,750103,530

Not listed: 19 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 2022.

Top metro areas

observed calculated calculated calculated calculated
Tampa-St. Petersburg-Clearwater, FL60$1,947,7972,980,44041,565
North Port-Bradenton-Sarasota, FL29$1,235,0481,892,10056,100
Houston-Pasadena-The Woodlands, TX54$1,155,4871,756,44027,795
Chicago-Naperville-Elgin, IL-IN65$1,028,8451,562,64118,360
Orlando-Kissimmee-Sanford, FL27$993,5461,530,50344,880
Baltimore-Columbia-Towson, MD23$800,8901,228,59023,970
Washington-Arlington-Alexandria, DC-VA-MD-WV26$692,7991,064,88223,205
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD30$675,9371,027,65019,380
Little Rock-North Little Rock-Conway, AR20$614,5161,014,90042,840
Miami-Fort Lauderdale-West Palm Beach, FL23$605,480938,40024,990
Cape Coral-Fort Myers, FL20$589,766902,19028,050
Dallas-Fort Worth-Arlington, TX59$582,803908,82012,750
Peoria, IL22$550,882878,73040,800
Detroit-Warren-Dearborn, MI24$533,044844,05031,110
Las Vegas-Henderson-North Las Vegas, NV32$506,257818,04021,675

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 35 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing Q0138 nationally

Hematology-Oncology accounts for 72% of payment for Q0138 nationally in 2022, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology95066%$22,450,25672%34,709,83536,537
Medical Oncology28820%$6,325,28320%9,858,31634,230
Internal Medicine563.9%$1,023,0643.3%1,598,52828,545
Nurse Practitioner402.8%$412,4691.3%666,06216,652
Hematology221.5%$366,4461.2%571,73025,988
Nephrology221.5%$266,1040.85%409,01118,591
Radiation Oncology130.91%$108,5010.35%180,54013,888

Not listed: 15 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 2022.

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