HCPCS J2785

Injection, regadenoson, 0.1 mg (CMS descriptor)

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

6,358
95th percentile among 6,326 codes billed · 2022
$102M
98th percentile among 6,326 codes billed · 2022
2.1M
97th percentile among 6,326 codes billed · 2022
212
92nd percentile among 6,326 codes billed · 2022
1,004
88th percentile among 6,326 codes billed · 2022
-1.5%
Medicare payment on the code vs 2021; billers +0.1% · 2022

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
California703$13,721,562285,2012081,328
Texas753$13,394,569279,4012361,180
Florida795$11,600,689241,104204932
New York511$7,813,052164,052204974
Illinois157$5,027,017104,4032801,158
Arizona257$4,947,467103,4703121,160
Maryland198$4,146,48586,8842971,218
New Jersey293$4,061,78885,965196878
Georgia236$3,209,62767,468205898
Virginia175$2,841,19659,357276829
Alabama160$2,836,02959,6032561,038
Louisiana146$2,736,92857,819256998
North Carolina245$2,690,09156,747160618
South Carolina167$2,202,51246,144216785
Pennsylvania203$2,195,44346,120160547

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ561$8,394,122175,848196
Houston-Pasadena-The Woodlands, TX268$5,156,745107,063209
Los Angeles-Long Beach-Anaheim, CA259$4,634,59596,055192
Chicago-Naperville-Elgin, IL-IN139$4,598,10095,403248
Phoenix-Mesa-Chandler, AZ206$3,741,65678,123316
Dallas-Fort Worth-Arlington, TX216$3,404,55871,188241
Washington-Arlington-Alexandria, DC-VA-MD-WV200$3,063,46164,186200
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD192$2,643,06155,468206
Miami-Fort Lauderdale-West Palm Beach, FL166$1,822,56137,914160
Orlando-Kissimmee-Sanford, FL150$1,751,72136,384154
Atlanta-Sandy Springs-Roswell, GA123$1,648,74934,560236
Las Vegas-Henderson-North Las Vegas, NV94$1,608,67133,893224
Detroit-Warren-Dearborn, MI122$1,591,97633,194195
Fresno, CA30$1,531,26131,819845
Tampa-St. Petersburg-Clearwater, FL146$1,528,50231,824167

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 85 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 J2785 nationally

Cardiology accounts for 75% of payment for J2785 nationally in 2022, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Cardiology4,65173%$76,322,99875%1,595,187343
Interventional Cardiology1,01316%$15,712,53715%329,419325
Independent Diagnostic Testing Facility (IDTF)190.30%$2,953,4502.9%60,9793,209
Internal Medicine2373.7%$2,576,6062.5%53,877227
Clinical Cardiac Electrophysiology1422.2%$1,690,2921.7%35,561250
Nuclear Medicine410.64%$822,6190.80%17,123418
Diagnostic Radiology721.1%$589,2700.58%12,952180
Nurse Practitioner570.90%$509,2160.50%10,778189
Advanced Heart Failure and Transplant Cardiology290.46%$322,1880.31%6,772234
Family Practice440.69%$193,1630.19%4,11093
Physician Assistant140.22%$137,6080.13%2,976213

Not listed: 15 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 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