HCPCS J2785

Injection, regadenoson, 0.1 mg (CMS descriptor)

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

6,350
95th percentile among 6,253 codes billed · 2021
$104M
98th percentile among 6,253 codes billed · 2021
2.2M
97th percentile among 6,253 codes billed · 2021
216
92nd percentile among 6,253 codes billed · 2021
1,046
89th percentile among 6,253 codes billed · 2021
+9.9%
Medicare payment on the code vs 2020; billers +3.8% · 2021

Trend

Medicare payment on the code

$0$50M$100M2020: $95M paid20202021: $104M paid20212022: $102M paid20222023: $93M paid20232024: $12M paid2024$12M$0$50M$100M2020: $95M paid20202021: $104M paid20212022: $102M paid20222023: $93M paid20232024: $12M paid2024$12M$0$50M$100M2020: $95M paid20202021: $104M paid20212022: $102M paid20222023: $93M paid20232024: $12M paid2024$12M$0$50M$100M2020: $95M paid20202021: $104M paid20212022: $102M paid20222023: $93M paid20232024: $12M paid2024$12M

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

Billers

02,5005,0002020: 6,118 providers20202021: 6,350 providers20212022: 6,358 providers20222023: 6,388 providers20232024: 6,356 providers20246,35602,5005,0002020: 6,118 providers20202021: 6,350 providers20212022: 6,358 providers20222023: 6,388 providers20232024: 6,356 providers20246,35602,5005,0002020: 6,118 providers20202021: 6,350 providers20212022: 6,358 providers20222023: 6,388 providers20232024: 6,356 providers20246,35602,5005,0002020: 6,118 providers20202021: 6,350 providers20212022: 6,358 providers20222023: 6,388 providers20232024: 6,356 providers20246,356

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
20246,356$11,810,171-87%2,216,4632081,0700.00
20236,388$92,688,873-9%2,186,5582081,0400.00
20226,358$102,310,070-2%2,139,7272121,0040.00
20216,350$103,905,795+10%2,206,2482161,0460.00
20206,118$94,574,893first year in data2,036,1022129920.00

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
Texas754$13,730,386291,9112401,175
California703$13,286,993280,2452201,330
Florida795$11,769,270247,973196946
New York521$7,537,009160,837192952
Illinois164$5,155,936108,8302581,078
Arizona245$5,095,358107,8642981,302
Maryland202$4,223,80589,8823221,323
New Jersey267$4,120,03988,313252880
Georgia244$3,513,61274,734205925
North Carolina248$3,006,05864,266171661
Virginia173$2,927,11662,417292891
Alabama168$2,835,69360,874250999
Louisiana144$2,804,94159,9473021,069
South Carolina164$2,230,13147,410233751
Michigan162$2,216,73246,725199807

Not listed: 11 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

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ541$8,066,765171,712200
Houston-Pasadena-The Woodlands, TX252$5,068,313107,289244
Chicago-Naperville-Elgin, IL-IN145$4,714,81499,430232
Los Angeles-Long Beach-Anaheim, CA256$4,208,98188,708200
Phoenix-Mesa-Chandler, AZ194$3,867,61381,941316
Dallas-Fort Worth-Arlington, TX223$3,584,32376,363244
Washington-Arlington-Alexandria, DC-VA-MD-WV197$3,080,83565,752236
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD181$2,559,01554,423188
Orlando-Kissimmee-Sanford, FL144$1,814,88538,294182
Miami-Fort Lauderdale-West Palm Beach, FL158$1,802,32337,940163
Atlanta-Sandy Springs-Roswell, GA121$1,721,66536,517228
Tampa-St. Petersburg-Clearwater, FL155$1,658,69835,051136
Las Vegas-Henderson-North Las Vegas, NV76$1,621,01734,656356
Baltimore-Columbia-Towson, MD79$1,571,74633,538318
Detroit-Warren-Dearborn, MI110$1,510,19731,796207

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 87 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 J2785 nationally

Cardiology accounts for 76% of payment for J2785 nationally in 2021, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Cardiology4,65673%$78,584,89476%1,668,182358
Interventional Cardiology96915%$15,004,13014%318,905329
Independent Diagnostic Testing Facility (IDTF)210.33%$2,883,8902.8%60,5502,883
Internal Medicine2493.9%$2,516,7162.4%53,568215
Clinical Cardiac Electrophysiology1552.4%$1,833,2791.8%38,937251
Nuclear Medicine430.68%$861,4910.83%18,222424
Diagnostic Radiology671.1%$592,8810.57%13,099196
Nurse Practitioner590.93%$522,1480.50%11,267191
Advanced Heart Failure and Transplant Cardiology270.43%$307,0260.30%6,546242
Family Practice500.79%$219,5370.21%4,65993
Physician Assistant160.25%$146,4080.14%3,138196

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 2021.

Top billers of J2785 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