HCPCS J7320

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

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

462
80th percentile among 6,405 codes billed · 2023
$24M
93rd percentile among 6,405 codes billed · 2023
4.3M
98th percentile among 6,405 codes billed · 2023
3,375
98th percentile among 6,405 codes billed · 2023
31,538
99th percentile among 6,405 codes billed · 2023
-65.5%
Medicare payment on the code vs 2022; billers -52.5%. 2023 changed hospital and observation visit codes · 2023

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
Illinois36$4,246,816803,1863,939113,144
New York53$2,848,807535,9253,55028,734
California46$2,078,584327,2073,50123,738
Florida50$1,950,712357,2643,55325,951
New Jersey43$1,761,381331,2363,05021,451
Arizona19$1,599,031225,7232,53342,597
Texas35$1,349,100245,4132,77523,450
South Carolina15$736,692139,2992,97734,269
Georgia25$714,543135,9643,65015,930
Virginia17$513,27895,2681,85520,471
Maryland15$268,52048,0262,7265,700
Michigan12$246,72645,9013,4387,076

Not listed: 25 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-NJ86$4,440,334834,8823,400
Chicago-Naperville-Elgin, IL-IN29$3,956,275747,5225,250
Phoenix-Mesa-Chandler, AZ12$1,229,396171,4793,889
Los Angeles-Long Beach-Anaheim, CA24$889,615124,2033,724
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD11$601,893113,9272,450
Houston-Pasadena-The Woodlands, TX13$423,45876,8202,750
Washington-Arlington-Alexandria, DC-VA-MD-WV21$411,42876,8472,175
Detroit-Warren-Dearborn, MI11$208,17938,4262,351

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 J7320 nationally

Physical Medicine and Rehabilitation accounts for 15% of payment for J7320 nationally in 2023, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Physical Medicine and Rehabilitation418.9%$3,552,81615%662,46516,158
Orthopedic Surgery7516%$3,420,10714%610,9238,146
Family Practice235.0%$3,298,71514%619,07126,916
Nurse Practitioner9721%$2,704,23011%477,5954,924
Physician Assistant6614%$1,694,2777.1%306,3764,642
Emergency Medicine112.4%$1,361,7535.7%236,11921,465
Internal Medicine183.9%$1,219,5015.1%210,57511,699
Pain Management326.9%$1,205,9355.1%222,2756,946
Anesthesiology235.0%$491,5532.1%82,4533,585
Rheumatology224.8%$406,2901.7%70,1613,189
Interventional Pain Management163.5%$380,5671.6%64,6884,043

Not listed: 16 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 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