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 (2023 fee schedule; adds 0 work RVUs)

1,238
88th percentile among 6,405 codes billed · 2023
$14M
90th percentile among 6,405 codes billed · 2023
36.9M
100th percentile among 6,405 codes billed · 2023
20,910
99th percentile among 6,405 codes billed · 2023
81,592
100th percentile among 6,405 codes billed · 2023
-53.8%
Medicare payment on the code vs 2022; billers -13.4%. 2023 changed hospital and observation visit codes · 2023

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
Florida266$4,489,82911,359,16633,405108,120
Texas193$2,057,7285,273,40118,87069,258
California98$772,5941,958,85616,32041,463
Maryland39$680,9611,737,72228,050131,631
Illinois61$643,6711,634,55019,89059,160
Virginia52$546,3131,395,87022,95055,437
New York53$530,6461,349,63720,91056,898
Michigan35$448,5521,157,19029,07066,300
Arkansas36$412,7731,055,71727,54055,220
Alabama31$385,8141,015,91022,95074,455
Nevada33$368,717938,91124,48056,100
Georgia27$319,278828,75026,52059,619
Indiana34$273,388702,27014,28047,761
Ohio25$221,382566,10015,30054,672
Washington28$217,802559,98116,06536,363

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 2023.

Top metro areas

observed calculated calculated calculated calculated
Tampa-St. Petersburg-Clearwater, FL53$865,3542,191,47035,190
North Port-Bradenton-Sarasota, FL26$644,7591,628,43046,665
Houston-Pasadena-The Woodlands, TX43$481,4911,228,08123,460
Orlando-Kissimmee-Sanford, FL28$454,8491,150,56338,250
Baltimore-Columbia-Towson, MD21$384,778984,96129,070
Las Vegas-Henderson-North Las Vegas, NV30$357,253910,35126,010
Richmond, VA25$356,093908,82034,680
Dallas-Fort Worth-Arlington, TX49$327,542841,50012,240
Detroit-Warren-Dearborn, MI28$326,602844,05025,755
Chicago-Naperville-Elgin, IL-IN35$306,507783,87016,830
Washington-Arlington-Alexandria, DC-VA-MD-WV24$291,854742,56115,555
New York-Newark-Jersey City, NY-NJ24$288,860726,92728,050
Deltona-Daytona Beach-Ormond Beach, FL17$275,658699,54927,037
Peoria, IL18$270,309682,38041,820
Cape Coral-Fort Myers, FL20$265,277673,71020,145

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 32 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 Q0138 nationally

Hematology-Oncology accounts for 69% of payment for Q0138 nationally in 2023, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology80565%$9,960,62869%25,381,31831,530
Medical Oncology26621%$3,041,72721%7,762,70129,183
Internal Medicine494.0%$580,4544.0%1,470,02230,000
Nurse Practitioner403.2%$338,6862.3%889,44022,236
Nephrology161.3%$129,4320.90%327,42320,464
Hematology141.1%$127,7530.88%327,11123,365
Radiation Oncology110.89%$50,3120.35%126,48011,498

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 2023.

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