HCPCS J3490

Unclassified drugs (CMS descriptor)

Other services Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

2,467
91st percentile among 6,116 codes billed · 2020
$26M
94th percentile among 6,116 codes billed · 2020
506K
93rd percentile among 6,116 codes billed · 2020
68
82nd percentile among 6,116 codes billed · 2020
561
83rd percentile among 6,116 codes billed · 2020

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
California223$9,306,36995,3581282,256
Florida178$3,890,06071,8731261,141
North Carolina62$2,571,2126,05159377
Texas300$2,243,48524,30958248
Indiana45$987,3765,27253331
New Jersey93$806,38713,02178455
Arkansas44$637,6809,469158656
New York92$489,1598,00357228
South Carolina52$466,5344,96762260
Virginia117$462,78217,18589300
Nevada44$444,67022,33086917
Louisiana26$414,1692,03533237
Maryland69$364,8538,80794312
Pennsylvania94$359,11219,36079542
Missouri73$334,5174,50840147

Not listed: 14 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 2020.

Top metro areas

observed calculated calculated calculated calculated
Los Angeles-Long Beach-Anaheim, CA78$5,379,22652,634179
Palm Bay-Melbourne-Titusville, FL12$1,373,65317,835376
New York-Newark-Jersey City, NY-NJ101$1,173,45710,84063
Fresno, CA18$1,102,0135,831138
Houston-Pasadena-The Woodlands, TX31$739,1873,31752
Riverside-San Bernardino-Ontario, CA23$699,8083,71997
Miami-Fort Lauderdale-West Palm Beach, FL38$588,34510,858129
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD61$574,66215,370106
San Antonio-New Braunfels, TX40$533,7504,75473
Tampa-St. Petersburg-Clearwater, FL29$490,42518,138212
Dallas-Fort Worth-Arlington, TX124$489,5168,30552
Las Vegas-Henderson-North Las Vegas, NV36$444,26721,65185
Chicago-Naperville-Elgin, IL-IN70$413,6088,69667
Little Rock-North Little Rock-Conway, AR24$346,5456,912227
Myrtle Beach-Conway-North Myrtle Beach, SC16$338,1271,37659

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 39 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing J3490 nationally

Hematology-Oncology accounts for 27% of payment for J3490 nationally in 2020, across 17 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology1,03642%$7,259,46427%211,254204
Urology1656.7%$6,890,40526%37,976230
Ophthalmology1455.9%$2,422,8329.2%47,507328
Nurse Practitioner1224.9%$2,018,6077.6%38,945319
Pain Management321.3%$1,324,4655.0%13,135410
Anesthesiology381.5%$1,253,8124.7%23,655623
Medical Oncology45318%$1,202,3734.5%43,87897
Family Practice562.3%$1,156,8444.4%7,878141
Interventional Pain Management502.0%$980,6723.7%9,380188
Physician Assistant401.6%$644,2342.4%5,041126
Internal Medicine722.9%$514,4771.9%21,222295
Emergency Medicine251.0%$166,0240.63%11,496460
Physical Medicine and Rehabilitation150.61%$89,6710.34%4,766318
Hematology291.2%$78,2350.30%5,828201
Cardiology351.4%$34,9860.13%4,044116

Not listed: 28 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 2020.

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