HCPCS J7312

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

Drugs Drug code Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

506
80th percentile among 6,253 codes billed · 2021
$25M
93rd percentile among 6,253 codes billed · 2021
159K
88th percentile among 6,253 codes billed · 2021
259
93rd percentile among 6,253 codes billed · 2021
656
84th percentile among 6,253 codes billed · 2021
–
Not compared: 2021 changed office visit values · 2021

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
California44$2,047,72112,739266521
Florida37$1,875,61911,928252585
Texas41$1,855,85511,905238707
Arizona22$1,323,8748,292315858
Illinois27$1,239,4707,770259571
Maryland20$1,229,1237,766329654
Ohio26$1,161,1597,282273499
North Carolina16$1,152,9537,2152941,058
Virginia22$1,008,6236,379242572
Washington19$953,9655,978287601
New York23$944,2045,973218496
Pennsylvania20$855,4655,342200557
New Jersey13$745,9154,774259875
Missouri11$615,8413,854203719
Tennessee11$545,0763,430280711

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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ27$1,370,3038,724259
Phoenix-Mesa-Chandler, AZ19$1,145,8307,172308
Chicago-Naperville-Elgin, IL-IN20$891,6225,579259
Washington-Arlington-Alexandria, DC-VA-MD-WV16$867,5885,510284
Los Angeles-Long Beach-Anaheim, CA15$717,5174,466266
Dallas-Fort Worth-Arlington, TX12$662,9934,286266
Kansas City, MO-KS13$662,5814,144224
Seattle-Tacoma-Bellevue, WA11$647,6624,060350

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 8 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 J7312 nationally

observed calculated calculated calculated calculated calculated

Not listed: 2 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 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