HCPCS J7318

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

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

1,059
86th percentile among 6,326 codes billed · 2022
$26M
94th percentile among 6,326 codes billed · 2022
2.5M
98th percentile among 6,326 codes billed · 2022
1,680
97th percentile among 6,326 codes billed · 2022
6,546
97th percentile among 6,326 codes billed · 2022
-15.0%
Medicare payment on the code vs 2021; billers +22.3% · 2022

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 state23 states
observed calculated calculated calculated calculated calculated
California104$3,007,433265,5921,5607,942
Arizona70$2,130,121188,8571,7987,138
Texas85$2,079,389186,6731,6825,102
Florida73$1,806,137171,1971,6204,992
South Carolina64$1,697,262166,0981,9507,539
New Jersey48$1,558,510146,4502,0426,559
Illinois56$1,269,726120,9491,6805,040
Michigan43$1,050,708101,9681,6205,238
Ohio49$1,020,506102,4841,5604,849
North Carolina40$972,48692,7001,6506,860
Pennsylvania41$932,13294,0371,6205,400
Massachusetts32$860,78182,7621,5307,206
Kentucky28$849,41679,8372,1917,518
Virginia22$791,62464,1161,8907,200
New York34$702,40465,8631,4125,582

Not listed: 23 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

Show the metro areas20 areas
observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ62$1,790,395165,2591,770
Los Angeles-Long Beach-Anaheim, CA33$1,296,725108,9732,280
Phoenix-Mesa-Chandler, AZ43$1,267,660109,3091,800
Chicago-Naperville-Elgin, IL-IN44$984,62994,5041,680
Austin-Round Rock-San Marcos, TX22$734,41666,4252,820
Greenville-Anderson-Greer, SC24$646,52463,5071,950
Detroit-Warren-Dearborn, MI23$630,23561,5281,740
Oxnard-Thousand Oaks-Ventura, CA13$599,91453,6463,600
Cincinnati, OH-KY-IN24$584,81056,7211,800
Baltimore-Columbia-Towson, MD23$578,88254,4821,980
San Diego-Chula Vista-Carlsbad, CA25$571,23954,5391,502
Miami-Fort Lauderdale-West Palm Beach, FL12$554,19246,4462,551
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD20$540,48755,4082,070
Charleston-North Charleston, SC15$436,27740,6851,920
Denver-Aurora-Centennial, CO18$422,25540,3701,590

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 20 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 J7318 nationally

Orthopedic Surgery accounts for 51% of payment for J7318 nationally in 2022, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery52049%$13,434,73851%1,247,9732,400
Physician Assistant22922%$5,480,99921%516,6342,256
Sports Medicine837.8%$2,268,5978.6%225,5542,718
Nurse Practitioner585.5%$1,414,6035.3%136,3592,351
Family Practice494.6%$1,336,5115.0%121,1792,473
Rheumatology343.2%$763,8962.9%68,7072,021
Physical Medicine and Rehabilitation363.4%$683,0822.6%64,5111,792
Internal Medicine181.7%$436,2791.6%41,0422,280

Not listed: 10 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 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