HCPCS J3490
Unclassified drugs (CMS descriptor)
Other services Work RVU per service none (2023 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 | |
|---|---|---|---|---|---|---|
| Texas | 351 | $19,103,093 | 40,085 | 55 | 336 | |
| Florida | 183 | $16,007,853 | 57,353 | 70 | 685 | |
| California | 323 | $15,895,803 | 83,326 | 75 | 1,024 | |
| Maryland | 103 | $6,392,810 | 14,175 | 65 | 511 | |
| New York | 120 | $6,091,910 | 13,030 | 58 | 299 | |
| Utah | 25 | $4,988,546 | 2,942 | 82 | 339 | |
| Ohio | 54 | $3,945,647 | 7,027 | 103 | 337 | |
| New Jersey | 116 | $3,504,584 | 15,162 | 66 | 522 | |
| Washington | 65 | $3,325,833 | 70,608 | 67 | 292 | |
| South Carolina | 54 | $3,118,413 | 6,125 | 72 | 266 | |
| Pennsylvania | 106 | $2,955,981 | 40,845 | 60 | 359 | |
| Illinois | 139 | $2,699,036 | 12,718 | 49 | 342 | |
| Tennessee | 64 | $2,680,196 | 6,775 | 73 | 270 | |
| Oregon | 53 | $2,275,435 | 3,538 | 37 | 210 | |
| Virginia | 106 | $2,170,172 | 7,704 | 56 | 165 |
Not listed: 16 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-NJ | 137 | $8,001,203 | 18,016 | 64 | |
| Houston-Pasadena-The Woodlands, TX | 45 | $5,443,703 | 5,930 | 52 | |
| Los Angeles-Long Beach-Anaheim, CA | 123 | $5,406,182 | 46,846 | 87 | |
| Salt Lake City-Murray, UT | 16 | $3,716,069 | 2,043 | 89 | |
| Dallas-Fort Worth-Arlington, TX | 132 | $2,775,383 | 8,824 | 50 | |
| Cleveland, OH | 12 | $2,725,791 | 2,348 | 120 | |
| Austin-Round Rock-San Marcos, TX | 41 | $2,574,594 | 4,332 | 79 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 92 | $2,555,470 | 9,992 | 56 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 83 | $2,552,718 | 38,536 | 67 | |
| Chicago-Naperville-Elgin, IL-IN | 103 | $2,440,711 | 9,955 | 50 | |
| Seattle-Tacoma-Bellevue, WA | 32 | $2,145,519 | 67,654 | 66 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 36 | $2,134,972 | 8,023 | 92 | |
| North Port-Bradenton-Sarasota, FL | 20 | $1,834,475 | 2,437 | 67 | |
| Orlando-Kissimmee-Sanford, FL | 23 | $1,715,920 | 3,395 | 98 | |
| San Antonio-New Braunfels, TX | 44 | $1,410,186 | 5,035 | 54 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 54 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 J3490 nationally
Ophthalmology accounts for 85% of payment for J3490 nationally in 2023, across 19 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Ophthalmology | 687 | 24% | $97,388,054 | 85% | 81,627 | 119 |
| Urology | 134 | 4.7% | $7,172,965 | 6.3% | 40,518 | 302 |
| Otolaryngology | 22 | 0.78% | $3,488,029 | 3.0% | 1,820 | 83 |
| Nurse Practitioner | 94 | 3.3% | $1,314,359 | 1.1% | 11,067 | 118 |
| Anesthesiology | 19 | 0.67% | $1,266,790 | 1.1% | 35,876 | 1,888 |
| Physician Assistant | 60 | 2.1% | $1,100,499 | 0.96% | 4,819 | 80 |
| Pain Management | 24 | 0.85% | $981,948 | 0.86% | 21,665 | 903 |
| Hematology-Oncology | 1,035 | 36% | $601,570 | 0.52% | 173,389 | 168 |
| Family Practice | 26 | 0.92% | $313,053 | 0.27% | 11,532 | 444 |
| Interventional Pain Management | 21 | 0.74% | $244,942 | 0.21% | 2,556 | 122 |
| Medical Oncology | 421 | 15% | $219,174 | 0.19% | 31,563 | 75 |
| Emergency Medicine | 17 | 0.60% | $168,409 | 0.15% | 2,543 | 150 |
| Internal Medicine | 67 | 2.4% | $91,722 | 0.08% | 20,274 | 303 |
| Cardiology | 35 | 1.2% | $80,210 | 0.07% | 4,844 | 138 |
| Gynecological Oncology | 45 | 1.6% | $46,147 | 0.04% | 3,643 | 81 |
Not listed: 20 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 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