HCPCS J7312

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

Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

492
81st percentile among 6,405 codes billed · 2023
$22M
93rd percentile among 6,405 codes billed · 2023
142K
87th percentile among 6,405 codes billed · 2023
245
92nd percentile among 6,405 codes billed · 2023
601
81st percentile among 6,405 codes billed · 2023
-11.6%
Medicare payment on the code vs 2022; billers -8.2%. 2023 changed hospital and observation visit codes · 2023

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
California42$1,701,21410,820235476
Florida35$1,592,17710,154231680
Texas38$1,550,14710,021203534
Illinois28$1,261,6158,114242647
Maryland22$1,168,0837,434270682
Arizona23$1,125,3977,147266671
North Carolina17$958,0976,097392650
Ohio22$916,3795,833238461
New York19$912,0955,860266598
Virginia21$892,4745,712238553
Pennsylvania14$709,7124,501277510
Washington15$689,4414,424273490
Tennessee13$594,8283,845210583
New Jersey14$592,6353,795193600
Kentucky12$526,7403,353193543

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ28$1,296,5808,338217
Phoenix-Mesa-Chandler, AZ20$997,5076,342280
Washington-Arlington-Alexandria, DC-VA-MD-WV16$922,8245,873354
Chicago-Naperville-Elgin, IL-IN20$878,9875,678242
Dallas-Fort Worth-Arlington, TX14$706,6184,611233
Los Angeles-Long Beach-Anaheim, CA16$672,3004,296256
Kansas City, MO-KS12$511,7373,283242
Atlanta-Sandy Springs-Roswell, GA11$403,1042,591224

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 2023.

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 2023.

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