HCPCS J2785

Injection, regadenoson, 0.1 mg (CMS descriptor)

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

6,388
96th percentile among 6,405 codes billed · 2023
$93M
97th percentile among 6,405 codes billed · 2023
2.2M
97th percentile among 6,405 codes billed · 2023
208
91st percentile among 6,405 codes billed · 2023
1,040
87th percentile among 6,405 codes billed · 2023
-9.4%
Medicare payment on the code vs 2022; billers +0.5% · 2023

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
California705$13,284,699308,7062241,414
Texas757$11,850,492278,0632241,210
Florida833$11,219,358265,2251921,046
New York493$6,940,716163,9982161,023
Arizona259$4,682,330110,6893481,044
Illinois169$4,667,451108,5872601,116
New Jersey302$3,736,79287,074189783
Maryland206$3,617,73984,9552701,154
Georgia227$2,832,40766,484205853
Virginia178$2,560,55161,266286973
Louisiana154$2,467,93057,837224937
North Carolina250$2,463,26757,569160564
Alabama158$2,366,31355,650269986
South Carolina159$2,049,78147,658236785
Michigan167$1,881,49843,909200661

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

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ561$7,750,858182,031200
Houston-Pasadena-The Woodlands, TX276$4,831,302114,189208
Los Angeles-Long Beach-Anaheim, CA262$4,824,351111,841213
Chicago-Naperville-Elgin, IL-IN151$4,319,330100,414260
Phoenix-Mesa-Chandler, AZ206$3,636,40385,948356
Dallas-Fort Worth-Arlington, TX222$3,001,78369,873221
Washington-Arlington-Alexandria, DC-VA-MD-WV216$2,831,70567,159203
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD193$2,098,74758,944200
Miami-Fort Lauderdale-West Palm Beach, FL179$1,759,40241,441156
Orlando-Kissimmee-Sanford, FL158$1,672,60939,087147
Las Vegas-Henderson-North Las Vegas, NV87$1,495,04835,883211
Tampa-St. Petersburg-Clearwater, FL156$1,472,12134,896150
Atlanta-Sandy Springs-Roswell, GA124$1,420,32833,371207
Fresno, CA30$1,373,54631,634866
North Port-Bradenton-Sarasota, FL64$1,372,83632,165390

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 84 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 J2785 nationally

Cardiology accounts for 74% of payment for J2785 nationally in 2023, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Cardiology4,66373%$68,353,36374%1,613,311346
Interventional Cardiology1,03916%$14,777,80916%348,622336
Independent Diagnostic Testing Facility (IDTF)220.34%$3,021,3343.3%69,8653,176
Internal Medicine2423.8%$2,337,6772.5%55,285228
Clinical Cardiac Electrophysiology1412.2%$1,567,6691.7%37,186264
Nuclear Medicine410.64%$753,6330.81%17,616430
Diagnostic Radiology630.99%$448,5480.48%11,013175
Nurse Practitioner480.75%$338,3320.37%8,069168
Advanced Heart Failure and Transplant Cardiology320.50%$291,4470.31%7,095222
Family Practice380.59%$169,4290.18%3,997105
Physician Assistant150.23%$126,8950.14%2,997200

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 2023.

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