HCPCS Q5119

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

Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

335
78th percentile among 6,405 codes billed · 2023
$16M
91st percentile among 6,405 codes billed · 2023
736K
95th percentile among 6,405 codes billed · 2023
1,790
97th percentile among 6,405 codes billed · 2023
4,262
95th percentile among 6,405 codes billed · 2023
-55.6%
Medicare payment on the code vs 2022; billers -19.3%. 2023 changed hospital and observation visit codes · 2023

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 state8 states
observed calculated calculated calculated calculated calculated
California30$1,997,09691,4121,9355,522
Florida37$1,854,62281,8941,8504,285
Illinois35$1,769,90679,8341,9703,669
Arizona36$1,532,73468,8791,4754,100
Texas33$1,429,56865,0421,5303,442
Virginia36$1,423,91564,3931,5653,278
Minnesota27$795,18236,3771,3801,825
Missouri12$523,69922,6231,5653,454

Not listed: 26 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

Show the metro areas5 areas
observed calculated calculated calculated calculated
Chicago-Naperville-Elgin, IL-IN23$1,258,56858,0792,250
Phoenix-Mesa-Chandler, AZ30$1,193,17653,3711,475
Washington-Arlington-Alexandria, DC-VA-MD-WV22$763,57934,5501,525
Rochester, MN19$517,11623,4201,160
Jacksonville, FL13$364,72016,5801,320

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 5 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 Q5119 nationally

Hematology-Oncology accounts for 67% of payment for Q5119 nationally in 2023, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology22367%$10,981,14967%494,9032,219
Medical Oncology8024%$3,641,17722%162,6392,033

Not listed: 6 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 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