HCPCS J7318

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg (CMS descriptor)

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

866
84th percentile among 6,253 codes billed · 2021
$31M
94th percentile among 6,253 codes billed · 2021
2.3M
97th percentile among 6,253 codes billed · 2021
1,727
97th percentile among 6,253 codes billed · 2021
7,290
97th percentile among 6,253 codes billed · 2021
–
Not compared: 2021 changed office visit values · 2021

Trend

Medicare payment on the code

$0$20M2020: $23M paid20202021: $31M paid20212022: $26M paid20222023: $15M paid20232024: $19M paid2024$19M$0$20M2020: $23M paid20202021: $31M paid20212022: $26M paid20222023: $15M paid20232024: $19M paid2024$19M$0$20M2020: $23M paid20202021: $31M paid20212022: $26M paid20222023: $15M paid20232024: $19M paid2024$19M$0$20M2020: $23M paid20202021: $31M paid20212022: $26M paid20222023: $15M 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

01,0002020: 660 providers20202021: 866 providers20212022: 1,059 providers20222023: 1,209 providers20232024: 1,475 providers20241,47501,0002020: 660 providers20202021: 866 providers20212022: 1,059 providers20222023: 1,209 providers20232024: 1,475 providers20241,47501,0002020: 660 providers20202021: 866 providers20212022: 1,059 providers20222023: 1,209 providers20232024: 1,475 providers20241,47501,0002020: 660 providers20202021: 866 providers20212022: 1,059 providers20222023: 1,209 providers20232024: 1,475 providers20241,475

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

Trend by year: table5 years
observed calculated calculated calculated calculated calculated reported
20241,475$19,209,975+25%3,779,7161,7407,2180.00
20231,209$15,378,579-42% (2023 changed hospital and observation visit codes)3,017,6511,6836,7800.00
20221,059$26,487,637-15%2,479,3841,6806,5460.00
2021866$31,154,581– (Not compared: 2021 changed office visit values)2,274,0081,7277,2900.00
2020660$22,570,173first year in data1,629,8161,6206,5430.00

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

By state

Show the table by state22 states
observed calculated calculated calculated calculated calculated
California106$4,294,911314,3461,8329,842
Arizona73$3,620,801264,8762,8808,642
Texas94$3,053,445225,3531,6806,501
New Jersey45$2,712,319192,1992,40214,557
Florida48$1,950,557142,4451,4497,470
Michigan40$1,472,113109,7971,7105,952
Virginia28$1,338,07597,5892,4009,975
South Carolina39$1,260,62892,6861,9204,122
Ohio31$1,070,57778,1981,5607,236
Kentucky23$943,98368,7212,3408,861
Connecticut30$848,32161,7411,3505,175
Illinois23$782,36857,5541,9806,084
Massachusetts23$762,87155,8011,7404,674
North Carolina27$735,45653,9421,4404,299
Tennessee18$679,48449,7161,9816,756

Not listed: 24 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

Show the metro areas18 areas
observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ51$2,769,850196,6242,040
Phoenix-Mesa-Chandler, AZ52$2,600,545190,3362,880
Los Angeles-Long Beach-Anaheim, CA32$1,863,051135,7923,193
Austin-Round Rock-San Marcos, TX25$1,124,43583,0572,460
Cincinnati, OH-KY-IN23$908,25966,2012,340
Detroit-Warren-Dearborn, MI23$897,66567,3171,680
Oxnard-Thousand Oaks-Ventura, CA13$784,24157,0004,680
Richmond, VA12$729,37553,1002,430
San Francisco-Oakland-Fremont, CA20$685,30849,9881,920
San Diego-Chula Vista-Carlsbad, CA23$635,44846,5401,620
Greenville-Anderson-Greer, SC17$557,86541,0731,920
Baltimore-Columbia-Towson, MD18$512,52136,9481,830
San Antonio-New Braunfels, TX14$508,25537,5001,830
Flagstaff, AZ11$490,66536,0062,461
Charleston-North Charleston, SC11$446,85332,9402,100

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 18 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 J7318 nationally

Orthopedic Surgery accounts for 54% of payment for J7318 nationally in 2021, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery46153%$16,923,16054%1,233,9392,677
Physician Assistant17420%$6,349,71220%466,0392,678
Sports Medicine475.4%$1,638,8565.3%119,6662,546
Family Practice343.9%$1,478,7954.7%107,9403,175
Nurse Practitioner465.3%$1,365,0524.4%99,6892,167
Rheumatology333.8%$1,346,4234.3%97,8422,965
Internal Medicine141.6%$602,8591.9%43,2273,088
Physical Medicine and Rehabilitation222.5%$552,5871.8%40,0501,820

Not listed: 8 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 J7318 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