HCPCS Q5119

Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg (CMS descriptor)

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

133
70th percentile among 6,471 codes billed · 2024
$5.7M
84th percentile among 6,471 codes billed · 2024
355K
92nd percentile among 6,471 codes billed · 2024
2,130
96th percentile among 6,471 codes billed · 2024
5,472
96th percentile among 6,471 codes billed · 2024
-65.4%
Medicare payment on the code vs 2023; billers -60.3% · 2024

Trend

Medicare payment on the code

$0$20M$40M2020: $4.6M paid20202021: $48M paid20212022: $37M paid20222023: $16M paid20232024: $5.7M paid2024$5.7M$0$20M$40M2020: $4.6M paid20202021: $48M paid20212022: $37M paid20222023: $16M paid20232024: $5.7M paid2024$5.7M$0$20M$40M2020: $4.6M paid20202021: $48M paid20212022: $37M paid20222023: $16M paid20232024: $5.7M paid2024$5.7M$0$20M$40M2020: $4.6M paid20202021: $48M paid20212022: $37M paid20222023: $16M paid20232024: $5.7M paid2024$5.7M

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

Billers

02004002020: 39 providers20202021: 364 providers20212022: 415 providers20222023: 335 providers20232024: 133 providers202413302004002020: 39 providers20202021: 364 providers20212022: 415 providers20222023: 335 providers20232024: 133 providers202413302004002020: 39 providers20202021: 364 providers20212022: 415 providers20222023: 335 providers20232024: 133 providers202413302004002020: 39 providers20202021: 364 providers20212022: 415 providers20222023: 335 providers20232024: 133 providers2024133

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

Trend by year: table5 years
observed calculated calculated calculated calculated calculated reported
2024133$5,663,100-65%355,1432,1305,4720.00
2023335$16,350,137-56% (2023 changed hospital and observation visit codes)736,4031,7904,2620.00
2022415$36,822,628-23%988,9082,0104,8180.00
2021364$47,846,717– (Not compared: 2021 changed office visit values)951,1152,3404,9500.00
202039$4,591,121first year in data79,9951,7603,772

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

By state

Show the table by state3 states
observed calculated calculated calculated calculated calculated
California25$1,422,35889,2762,3505,247
Illinois24$961,41260,2402,2004,260
Virginia16$560,30334,9282,1753,448

Not listed: 22 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

Show the metro areas1 areas
observed calculated calculated calculated calculated
Chicago-Naperville-Elgin, IL-IN23$926,35958,0102,170

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 1 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 Q5119 nationally

Hematology-Oncology accounts for 64% of payment for Q5119 nationally in 2024, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology8967%$3,628,69564%228,2592,565
Rheumatology1814%$1,011,71718%63,1633,509

Not listed: 8 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 Q5119 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