HCPCS J7320

Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg (CMS descriptor)

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

973
85th percentile among 6,326 codes billed · 2022
$69M
97th percentile among 6,326 codes billed · 2022
5.8M
99th percentile among 6,326 codes billed · 2022
3,025
98th percentile among 6,326 codes billed · 2022
20,185
99th percentile among 6,326 codes billed · 2022
-40.8%
Medicare payment on the code vs 2021; billers -18.9% · 2022

Trend

Medicare payment on the code

$0$50M$100M2020: $85M paid20202021: $116M paid20212022: $69M paid20222023: $24M paid20232024: $15M paid2024$15M$0$50M$100M2020: $85M paid20202021: $116M paid20212022: $69M paid20222023: $24M paid20232024: $15M paid2024$15M$0$50M$100M2020: $85M paid20202021: $116M paid20212022: $69M paid20222023: $24M paid20232024: $15M paid2024$15M$0$50M$100M2020: $85M paid20202021: $116M paid20212022: $69M paid20222023: $24M paid20232024: $15M paid2024$15M

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

Billers

05001,0002020: 876 providers20202021: 1,200 providers20212022: 973 providers20222023: 462 providers20232024: 347 providers202434705001,0002020: 876 providers20202021: 1,200 providers20212022: 973 providers20222023: 462 providers20232024: 347 providers202434705001,0002020: 876 providers20202021: 1,200 providers20212022: 973 providers20222023: 462 providers20232024: 347 providers202434705001,0002020: 876 providers20202021: 1,200 providers20212022: 973 providers20222023: 462 providers20232024: 347 providers2024347

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
2024347$15,360,495-35%3,633,1163,18048,2770.00
2023462$23,765,391-66% (2023 changed hospital and observation visit codes)4,266,5373,37531,5380.00
2022973$68,893,275-41%5,826,9163,02520,1850.00
20211,200$116,313,244– (Not compared: 2021 changed office visit values)8,642,3303,32725,9890.00
2020876$84,782,292first year in data6,356,6243,45026,8450.00

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
California133$10,817,548809,2253,05320,170
Illinois52$7,328,730700,2252,97565,187
New York103$7,303,560668,3914,34518,190
Florida86$5,819,132483,6353,25017,407
New Jersey75$4,289,203374,8393,02514,814
Texas69$4,150,341393,2242,75024,403
Arizona77$4,073,377307,4542,57513,500
Virginia23$2,537,906211,9644,20034,177
Georgia47$2,197,743190,2522,62511,938
Pennsylvania19$1,694,653142,3772,97518,649
Tennessee28$1,609,412129,1392,8638,025
South Carolina25$1,607,883132,7223,10014,593
Missouri20$1,455,242115,5084,26312,597
North Carolina14$1,228,76598,5626,55014,146
Kentucky11$1,163,220101,8542,57539,738

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

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ149$9,873,285890,3843,750
Chicago-Naperville-Elgin, IL-IN44$6,863,719658,2233,100
Los Angeles-Long Beach-Anaheim, CA68$5,703,283426,9793,263
Phoenix-Mesa-Chandler, AZ64$2,984,707224,7232,277
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD25$1,622,700144,8032,475
Atlanta-Sandy Springs-Roswell, GA30$1,471,763131,0832,275
Dallas-Fort Worth-Arlington, TX19$1,430,961134,7093,476
Cape Coral-Fort Myers, FL17$1,347,072112,8052,950
Washington-Arlington-Alexandria, DC-VA-MD-WV22$1,193,848111,3372,588
Houston-Pasadena-The Woodlands, TX20$1,191,696113,6252,963
Detroit-Warren-Dearborn, MI16$1,059,90585,3212,438
Atlantic City-Hammonton, NJ11$1,049,56592,4826,150
St. Louis, MO-IL13$831,97663,4482,975
San Diego-Chula Vista-Carlsbad, CA15$687,69451,4032,150
Tampa-St. Petersburg-Clearwater, FL12$685,71156,6703,388

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 17 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 J7320 nationally

Orthopedic Surgery accounts for 20% of payment for J7320 nationally in 2022, across 13 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery20021%$13,493,74820%1,144,2385,721
Nurse Practitioner22823%$12,774,43119%1,024,0294,491
Physical Medicine and Rehabilitation727.4%$7,674,49411%700,4699,729
Physician Assistant13714%$7,159,06410%582,8204,254
Family Practice535.4%$6,834,4009.9%592,15811,173
Internal Medicine434.4%$4,010,2545.8%319,3887,428
Pain Management586.0%$3,140,4084.6%288,2034,969
Emergency Medicine161.6%$2,496,0873.6%210,55313,160
Anesthesiology383.9%$1,735,5842.5%143,7153,782
Rheumatology373.8%$1,521,0642.2%129,5733,502
General Practice111.1%$1,352,3532.0%108,3849,853
Sports Medicine192.0%$1,260,0861.8%106,9795,630
Interventional Pain Management303.1%$1,182,6851.7%111,9813,733

Not listed: 15 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 J7320 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