HCPCS J7312

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

Drugs Drug code Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

536
81st percentile among 6,326 codes billed · 2022
$25M
93rd percentile among 6,326 codes billed · 2022
160K
88th percentile among 6,326 codes billed · 2022
252
93rd percentile among 6,326 codes billed · 2022
639
83rd percentile among 6,326 codes billed · 2022
-0.6%
Medicare payment on the code vs 2021; billers +5.9% · 2022

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
California48$2,005,74512,771228496
Texas48$2,004,68113,137221527
Florida40$1,782,37011,446207587
Illinois29$1,406,7719,045280675
Arizona23$1,371,0808,772343706
Maryland22$1,175,6097,470301676
North Carolina17$1,100,5977,035364689
Ohio25$1,078,8076,868238532
Washington16$893,6455,733340653
New York19$879,0735,621273442
Virginia18$795,2225,100228575
New Jersey15$752,0934,832210818
Pennsylvania13$651,0604,125196640
Kansas14$637,4144,067322464
Tennessee14$582,1823,753210753

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ28$1,386,1678,899263
Phoenix-Mesa-Chandler, AZ19$1,208,4477,743350
Chicago-Naperville-Elgin, IL-IN22$1,124,7757,238291
Dallas-Fort Worth-Arlington, TX16$898,3315,947270
Washington-Arlington-Alexandria, DC-VA-MD-WV14$831,8965,315329
Kansas City, MO-KS14$633,7084,046301
Los Angeles-Long Beach-Anaheim, CA14$616,2603,914270
Atlanta-Sandy Springs-Roswell, GA12$471,7593,019231

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 2022.

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 2022.

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