HCPCS J3490
Unclassified drugs (CMS descriptor)
Other services Work RVU per service none (2022 fee schedule; adds 0 work RVUs)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 2,477 | $67,129,159 | -41% | 485,201 | 59 | 379 | 0.00 |
| 2023 | 2,838 | $114,718,469 | +105% | 477,000 | 58 | 380 | 0.00 |
| 2022 | 2,501 | $56,060,787 | +204% | 487,640 | 66 | 470 | 0.00 |
| 2021 | 2,417 | $18,453,585 | -30% | 544,521 | 71 | 641 | 0.00 |
| 2020 | 2,467 | $26,449,665 | first year in data | 506,402 | 68 | 561 | 0.00 |
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 | |
|---|---|---|---|---|---|---|
| Florida | 186 | $11,460,224 | 64,350 | 96 | 806 | |
| California | 258 | $9,804,241 | 86,612 | 102 | 1,749 | |
| Texas | 305 | $4,731,028 | 36,995 | 56 | 382 | |
| North Carolina | 81 | $3,298,740 | 5,720 | 58 | 160 | |
| Ohio | 52 | $2,883,750 | 7,211 | 108 | 260 | |
| Nebraska | 27 | $2,816,956 | 3,028 | 61 | 469 | |
| Maryland | 77 | $1,893,787 | 12,788 | 93 | 686 | |
| Tennessee | 56 | $1,775,045 | 5,642 | 62 | 234 | |
| New York | 79 | $1,354,421 | 11,312 | 67 | 335 | |
| Missouri | 74 | $1,146,752 | 11,241 | 44 | 358 | |
| Kentucky | 16 | $1,118,526 | 2,537 | 102 | 485 | |
| South Carolina | 55 | $1,078,470 | 5,500 | 69 | 171 | |
| Oklahoma | 23 | $918,205 | 2,699 | 79 | 222 | |
| Pennsylvania | 89 | $874,181 | 34,417 | 60 | 360 | |
| Arizona | 71 | $824,457 | 14,553 | 55 | 256 |
Not listed: 15 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 | |
|---|---|---|---|---|---|
| Tampa-St. Petersburg-Clearwater, FL | 32 | $3,742,904 | 16,071 | 113 | |
| Los Angeles-Long Beach-Anaheim, CA | 90 | $2,361,218 | 42,464 | 86 | |
| Cincinnati, OH-KY-IN | 19 | $2,144,135 | 2,390 | 110 | |
| Houston-Pasadena-The Woodlands, TX | 37 | $1,814,168 | 4,203 | 54 | |
| Palm Bay-Melbourne-Titusville, FL | 12 | $1,732,122 | 19,732 | 162 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 36 | $1,679,221 | 8,376 | 105 | |
| New York-Newark-Jersey City, NY-NJ | 95 | $1,472,757 | 16,356 | 69 | |
| San Diego-Chula Vista-Carlsbad, CA | 51 | $1,431,563 | 7,953 | 82 | |
| North Port-Bradenton-Sarasota, FL | 21 | $1,252,964 | 2,920 | 75 | |
| Louisville/Jefferson County, KY-IN | 11 | $1,252,470 | 2,238 | 105 | |
| Riverside-San Bernardino-Ontario, CA | 20 | $1,179,458 | 3,013 | 71 | |
| Dallas-Fort Worth-Arlington, TX | 122 | $965,465 | 8,354 | 48 | |
| San Antonio-New Braunfels, TX | 42 | $833,248 | 9,031 | 60 | |
| Orlando-Kissimmee-Sanford, FL | 19 | $773,490 | 2,594 | 74 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 65 | $747,272 | 32,450 | 76 |
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 2022.
Specialties billing J3490 nationally
Ophthalmology accounts for 65% of payment for J3490 nationally in 2022, across 19 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Ophthalmology | 317 | 13% | $36,199,116 | 65% | 56,816 | 179 |
| Urology | 137 | 5.5% | $7,368,374 | 13% | 38,374 | 280 |
| Nurse Practitioner | 110 | 4.4% | $2,950,905 | 5.3% | 19,597 | 178 |
| Otolaryngology | 12 | 0.48% | $1,571,117 | 2.8% | 545 | 45 |
| Anesthesiology | 35 | 1.4% | $1,413,786 | 2.5% | 41,701 | 1,191 |
| Hematology-Oncology | 1,030 | 41% | $1,390,526 | 2.5% | 199,776 | 194 |
| Pain Management | 28 | 1.1% | $1,281,691 | 2.3% | 24,548 | 877 |
| Physician Assistant | 61 | 2.4% | $835,147 | 1.5% | 4,812 | 79 |
| Internal Medicine | 67 | 2.7% | $614,877 | 1.1% | 18,212 | 272 |
| Medical Oncology | 419 | 17% | $412,977 | 0.74% | 35,381 | 84 |
| Interventional Pain Management | 29 | 1.2% | $364,724 | 0.65% | 5,773 | 199 |
| Family Practice | 32 | 1.3% | $300,236 | 0.54% | 11,738 | 367 |
| Cardiology | 40 | 1.6% | $270,796 | 0.48% | 3,997 | 100 |
| Emergency Medicine | 17 | 0.68% | $61,591 | 0.11% | 1,172 | 69 |
| Physical Medicine and Rehabilitation | 16 | 0.64% | $52,304 | 0.09% | 2,303 | 144 |
Not listed: 23 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 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