HCPCS J3490

Unclassified drugs (CMS descriptor)

Other services Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

2,417
91st percentile among 6,253 codes billed · 2021
$18M
91st percentile among 6,253 codes billed · 2021
545K
93rd percentile among 6,253 codes billed · 2021
71
82nd percentile among 6,253 codes billed · 2021
641
83rd percentile among 6,253 codes billed · 2021
-30.2%
Medicare payment on the code vs 2020; billers -2.0% · 2021

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
Florida165$4,685,46575,5641261,366
California224$4,168,46492,0041292,097
Texas309$2,498,90331,28955334
North Carolina63$858,2464,63650197
Indiana43$513,9855,00142444
Louisiana27$509,8612,44162279
South Carolina49$459,9424,85465249
Washington49$417,82881,09942410
New Jersey85$375,04721,83080662
Colorado56$337,9584,26755202
Maryland72$306,75510,767102425
Arizona80$270,77813,70369690
Missouri67$267,4885,96943347
Arkansas46$262,9209,776192580
New York76$235,0038,38664413

Not listed: 18 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
Palm Bay-Melbourne-Titusville, FL11$1,580,95718,692500
Houston-Pasadena-The Woodlands, TX33$900,9146,23467
Miami-Fort Lauderdale-West Palm Beach, FL36$810,89111,441110
Riverside-San Bernardino-Ontario, CA22$751,7132,92479
Tampa-St. Petersburg-Clearwater, FL22$692,59820,374182
Los Angeles-Long Beach-Anaheim, CA79$615,41937,647144
Fresno, CA21$612,33214,639180
San Antonio-New Braunfels, TX43$607,8226,48656
Dallas-Fort Worth-Arlington, TX117$599,4418,90551
New York-Newark-Jersey City, NY-NJ83$473,67217,36571
Charlotte-Concord-Gastonia, NC-SC18$420,5191,57167
Myrtle Beach-Conway-North Myrtle Beach, SC16$391,4421,36559
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD62$358,29848,12286
North Port-Bradenton-Sarasota, FL20$354,6253,581117
Spokane-Spokane Valley, WA13$344,9821,27449

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 41 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 J3490 nationally

Urology accounts for 40% of payment for J3490 nationally in 2021, across 19 specialties on claims.

observed calculated calculated calculated calculated calculated
Urology1476.1%$7,401,42640%40,513276
Ophthalmology1215.0%$2,714,23315%42,680353
Nurse Practitioner1616.7%$1,590,7908.6%52,345325
Pain Management321.3%$1,320,7127.2%19,460608
Anesthesiology371.5%$1,276,3666.9%49,9751,351
Interventional Pain Management421.7%$890,1474.8%9,746232
Physician Assistant512.1%$885,4124.8%5,07099
Hematology-Oncology1,02242%$874,3704.7%220,267216
Family Practice502.1%$313,7081.7%8,421168
Medical Oncology42418%$278,2051.5%40,19995
Internal Medicine793.3%$247,6311.3%21,036266
Cardiology351.4%$101,6100.55%5,630161
Physical Medicine and Rehabilitation180.74%$61,3350.33%3,064170
Emergency Medicine251.0%$22,3090.12%1,55962
Gynecological Oncology461.9%$11,4960.06%4,975108

Not listed: 30 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 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