HCPCS Q5119

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

Drugs Drug code Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

415
79th percentile among 6,326 codes billed · 2022
$37M
95th percentile among 6,326 codes billed · 2022
989K
95th percentile among 6,326 codes billed · 2022
2,010
97th percentile among 6,326 codes billed · 2022
4,818
96th percentile among 6,326 codes billed · 2022
-23.0%
Medicare payment on the code vs 2021; billers +14.0% · 2022

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
Florida52$5,637,467146,3002,7205,567
Texas58$4,565,940122,9091,9403,776
Virginia37$3,011,81881,3611,8603,999
Illinois25$2,732,96773,3782,5905,892
Arizona33$2,595,64270,0901,4905,451
California23$2,226,18861,1042,3804,442
Maryland16$1,781,28647,4962,8854,510
Missouri17$1,282,84734,9171,9903,755
Minnesota26$1,270,02334,6831,2102,058
New York16$997,77626,7881,7612,249

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

Not listed: 27 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

Show the metro areas8 areas
observed calculated calculated calculated calculated
Phoenix-Mesa-Chandler, AZ23$1,754,36547,8801,490
Washington-Arlington-Alexandria, DC-VA-MD-WV20$1,527,00140,9471,560
Chicago-Naperville-Elgin, IL-IN11$1,473,82839,7783,460
Dallas-Fort Worth-Arlington, TX17$1,175,87331,6711,800
Peoria, IL12$1,091,90029,5302,445
Austin-Round Rock-San Marcos, TX12$1,013,81927,1301,880
Jacksonville, FL14$786,22320,1701,240
Rochester, MN17$737,57720,1001,040

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 8 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 Q5119 nationally

Hematology-Oncology accounts for 68% of payment for Q5119 nationally in 2022, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology27266%$24,987,97668%668,7982,459
Medical Oncology10425%$8,310,91123%224,9642,163
Internal Medicine143.4%$1,342,5033.6%35,8762,563

Not listed: 9 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 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