HCPCS J7312

Injection, dexamethasone, intravitreal implant, 0.1 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

525
81st percentile among 6,116 codes billed · 2020
$26M
94th percentile among 6,116 codes billed · 2020
166K
88th percentile among 6,116 codes billed · 2020
252
93rd percentile among 6,116 codes billed · 2020
658
84th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$10M$20M2020: $26M paid20202021: $25M paid20212022: $25M paid20222023: $22M paid20232024: $19M paid2024$19M$0$10M$20M2020: $26M paid20202021: $25M paid20212022: $25M paid20222023: $22M paid20232024: $19M paid2024$19M$0$10M$20M2020: $26M paid20202021: $25M paid20212022: $25M paid20222023: $22M paid20232024: $19M paid2024$19M$0$10M$20M2020: $26M paid20202021: $25M paid20212022: $25M paid20222023: $22M paid20232024: $19M paid2024$19M

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

Billers

02004002020: 525 providers20202021: 506 providers20212022: 536 providers20222023: 492 providers20232024: 436 providers202443602004002020: 525 providers20202021: 506 providers20212022: 536 providers20222023: 492 providers20232024: 436 providers202443602004002020: 525 providers20202021: 506 providers20212022: 536 providers20222023: 492 providers20232024: 436 providers202443602004002020: 525 providers20202021: 506 providers20212022: 536 providers20222023: 492 providers20232024: 436 providers2024436

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
2024436$19,343,491-12%122,1362425990.00
2023492$22,097,355-12% (2023 changed hospital and observation visit codes)141,5572456010.00
2022536$24,983,117-1%160,3882526390.00
2021506$25,127,916– (Not compared: 2021 changed office visit values)158,6162596560.00
2020525$25,947,558first year in data165,6562526580.00

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
Florida47$2,388,28015,268252645
Texas47$2,141,88913,758245682
California41$1,937,28012,230252560
Arizona21$1,436,5199,109364784
Maryland26$1,309,3728,382301576
North Carolina17$1,222,8757,7212801,051
Illinois24$1,171,7297,455294585
Virginia24$1,071,3026,797245556
Pennsylvania21$900,0325,717219602
Washington16$895,9455,671270665
New York23$875,1315,568210477
Ohio20$809,5705,138231401
New Jersey17$762,5664,932210712
Tennessee12$708,5804,543326815
Georgia14$635,5864,025200598

Not listed: 26 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
New York-Newark-Jersey City, NY-NJ31$1,307,7638,413210
Phoenix-Mesa-Chandler, AZ17$1,215,9487,714385
Dallas-Fort Worth-Arlington, TX14$813,2985,201242
Washington-Arlington-Alexandria, DC-VA-MD-WV17$778,3294,994231
Chicago-Naperville-Elgin, IL-IN18$756,0874,795277
Los Angeles-Long Beach-Anaheim, CA13$626,8873,970252
Baltimore-Columbia-Towson, MD12$582,8493,696305
Atlanta-Sandy Springs-Roswell, GA13$565,4753,584182
Detroit-Warren-Dearborn, MI11$365,5842,346224

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 9 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 J7312 nationally

Ophthalmology accounts for 100% of payment for J7312 nationally in 2020, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology525100%$25,947,558100%165,656316

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 J7312 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