HCPCS J3490

Unclassified drugs (CMS descriptor)

Other services Work RVU per service none (2024 fee schedule; adds 0 work RVUs)

2,477
92nd percentile among 6,471 codes billed · 2024
$67M
97th percentile among 6,471 codes billed · 2024
485K
93rd percentile among 6,471 codes billed · 2024
59
76th percentile among 6,471 codes billed · 2024
379
76th percentile among 6,471 codes billed · 2024
-41.5%
Medicare payment on the code vs 2023; billers -12.7% · 2024

Trend

Medicare payment on the code

$0$50M$100M2020: $26M paid20202021: $18M paid20212022: $56M paid20222023: $115M paid20232024: $67M paid2024$67M$0$50M$100M2020: $26M paid20202021: $18M paid20212022: $56M paid20222023: $115M paid20232024: $67M paid2024$67M$0$50M$100M2020: $26M paid20202021: $18M paid20212022: $56M paid20222023: $115M paid20232024: $67M paid2024$67M$0$50M$100M2020: $26M paid20202021: $18M paid20212022: $56M paid20222023: $115M paid20232024: $67M paid2024$67M

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

Billers

02,0002020: 2,467 providers20202021: 2,417 providers20212022: 2,501 providers20222023: 2,838 providers20232024: 2,477 providers20242,47702,0002020: 2,467 providers20202021: 2,417 providers20212022: 2,501 providers20222023: 2,838 providers20232024: 2,477 providers20242,47702,0002020: 2,467 providers20202021: 2,417 providers20212022: 2,501 providers20222023: 2,838 providers20232024: 2,477 providers20242,47702,0002020: 2,467 providers20202021: 2,417 providers20212022: 2,501 providers20222023: 2,838 providers20232024: 2,477 providers20242,477

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
20242,477$67,129,159-41%485,201593790.00
20232,838$114,718,469+105%477,000583800.00
20222,501$56,060,787+204%487,640664700.00
20212,417$18,453,585-30%544,521716410.00
20202,467$26,449,665first year in data506,402685610.00

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
Texas355$14,180,88627,17350211
Florida175$14,143,16870,807691,065
California270$8,551,01076,72189803
New York86$3,437,07646,45253974
Utah18$2,745,9561,66352334
South Carolina49$2,276,1045,24174243
Illinois135$1,702,57111,14147285
Georgia53$1,554,0254,16160187
North Carolina64$1,381,4113,44644116
Colorado47$1,256,0202,70042131
Washington42$1,254,68380,56645185
Tennessee58$1,123,7875,23865218
Arizona103$1,009,10126,12247303
Nevada49$937,9296,76959307
Indiana28$935,3812,00944129

Not listed: 13 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ100$3,743,30050,46054
Houston-Pasadena-The Woodlands, TX40$2,711,3903,06841
Dallas-Fort Worth-Arlington, TX134$2,582,2277,22344
Miami-Fort Lauderdale-West Palm Beach, FL43$2,517,3987,42764
Austin-Round Rock-San Marcos, TX44$2,381,0783,38363
Orlando-Kissimmee-Sanford, FL20$1,888,20410,838122
Columbia, SC22$1,821,3372,03376
Los Angeles-Long Beach-Anaheim, CA90$1,691,99539,76790
North Port-Bradenton-Sarasota, FL20$1,680,0292,41389
Sacramento-Roseville-Folsom, CA22$1,574,3471,77758
Chicago-Naperville-Elgin, IL-IN96$1,536,7108,19445
San Antonio-New Braunfels, TX46$1,276,4283,72944
Tampa-St. Petersburg-Clearwater, FL27$1,178,2405,66554
Riverside-San Bernardino-Ontario, CA22$1,105,4747,451108
Boston-Cambridge-Newton, MA-NH16$895,8872,46877

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 46 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing J3490 nationally

Ophthalmology accounts for 70% of payment for J3490 nationally in 2024, across 18 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology41517%$47,135,78870%52,983128
Urology1124.5%$6,182,3079.2%44,757400
Otolaryngology361.5%$5,988,8438.9%2,62173
Nurse Practitioner933.8%$1,502,7742.2%10,263110
Anesthesiology110.44%$1,305,5001.9%15,3371,394
Hematology-Oncology1,03842%$1,140,1741.7%186,682180
Physician Assistant592.4%$1,080,8101.6%5,898100
Pain Management220.89%$717,6661.1%31,7141,442
Medical Oncology37515%$677,9771.0%26,28370
Internal Medicine763.1%$375,9040.56%12,741168
Family Practice230.93%$205,8170.31%11,347493
Interventional Pain Management130.52%$191,5090.29%2,121163
Hematology261.0%$104,3920.16%10,114389
Cardiology331.3%$34,1930.05%3,497106
Emergency Medicine130.52%$27,6450.04%65650

Not listed: 19 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 2024.

Top billers of J3490 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