HCPCS Q5119

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

Drugs Drug code Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

364
77th percentile among 6,253 codes billed · 2021
$48M
96th percentile among 6,253 codes billed · 2021
951K
95th percentile among 6,253 codes billed · 2021
2,340
97th percentile among 6,253 codes billed · 2021
4,950
96th percentile among 6,253 codes billed · 2021
–
Not compared: 2021 changed office visit values · 2021

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 state10 states
observed calculated calculated calculated calculated calculated
Florida61$8,522,821169,0632,7904,843
Texas47$5,333,147106,1482,0504,575
Illinois28$4,455,36288,0832,7106,205
Virginia36$4,387,00487,6992,2553,857
California17$2,628,95651,4802,6805,114
Maryland17$2,338,30046,3972,7104,438
Arizona21$2,288,62345,4291,9804,360
Missouri13$1,425,40028,4392,0903,054
Nevada11$1,308,90326,6882,0213,801
Minnesota14$1,170,62423,6691,5103,142

Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.

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 2021.

Top metro areas

Show the metro areas6 areas
observed calculated calculated calculated calculated
Washington-Arlington-Alexandria, DC-VA-MD-WV26$2,906,23758,6672,055
Chicago-Naperville-Elgin, IL-IN15$2,425,86647,9302,760
Dallas-Fort Worth-Arlington, TX17$1,831,81535,9852,050
Jacksonville, FL18$1,467,21329,2001,305
Phoenix-Mesa-Chandler, AZ14$1,444,95128,6351,370
Las Vegas-Henderson-North Las Vegas, NV11$1,308,90326,6882,021

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 6 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 Q5119 nationally

Hematology-Oncology accounts for 71% of payment for Q5119 nationally in 2021, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology25069%$33,928,47671%673,5542,694
Medical Oncology8523%$10,743,10822%214,4062,522
Internal Medicine143.8%$1,456,8563.0%29,0452,075

Not listed: 7 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 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