HCPCS J7323

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose (CMS descriptor)

Drugs Drug code Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

2,052
90th percentile among 6,116 codes billed · 2020
$25M
94th percentile among 6,116 codes billed · 2020
226K
90th percentile among 6,116 codes billed · 2020
79
85th percentile among 6,116 codes billed · 2020
299
76th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$10M$20M2020: $25M paid20202021: $27M paid20212022: $26M paid20222023: $26M paid20232024: $23M paid2024$23M$0$10M$20M2020: $25M paid20202021: $27M paid20212022: $26M paid20222023: $26M paid20232024: $23M paid2024$23M$0$10M$20M2020: $25M paid20202021: $27M paid20212022: $26M paid20222023: $26M paid20232024: $23M paid2024$23M$0$10M$20M2020: $25M paid20202021: $27M paid20212022: $26M paid20222023: $26M paid20232024: $23M paid2024$23M

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

Billers

01,0002,0002020: 2,052 providers20202021: 2,190 providers20212022: 2,278 providers20222023: 2,315 providers20232024: 2,143 providers20242,14301,0002,0002020: 2,052 providers20202021: 2,190 providers20212022: 2,278 providers20222023: 2,315 providers20232024: 2,143 providers20242,14301,0002,0002020: 2,052 providers20202021: 2,190 providers20212022: 2,278 providers20222023: 2,315 providers20232024: 2,143 providers20242,14301,0002,0002020: 2,052 providers20202021: 2,190 providers20212022: 2,278 providers20222023: 2,315 providers20232024: 2,143 providers20242,143

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
20242,143$22,695,062-14%245,705773260.00
20232,315$26,309,490-0% (2023 changed hospital and observation visit codes)267,870773280.00
20222,278$26,351,347-1%259,600773130.00
20212,190$26,693,013– (Not compared: 2021 changed office visit values)250,533783260.00
20202,052$25,269,540first year in data225,949792990.00

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
Pennsylvania234$2,699,12024,03775250
New York175$2,534,89522,47690322
Illinois103$1,576,22513,973100333
Georgia100$1,560,73913,93396431
California106$1,481,32413,26287324
Texas108$1,402,19312,58797319
New Jersey81$1,065,2489,55882299
Ohio92$1,013,4709,10377252
Florida74$918,1538,22577286
North Carolina69$883,5427,89087263
Tennessee56$721,3756,45981262
South Carolina44$706,4296,39898351
Washington49$660,9525,91886378
Massachusetts48$574,1685,10877319
Michigan61$566,5145,06865181

Not listed: 13 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ176$2,534,35422,51989
Atlanta-Sandy Springs-Roswell, GA66$1,195,81210,679108
Chicago-Naperville-Elgin, IL-IN65$1,010,1548,940124
Pittsburgh, PA89$907,9988,08476
Allentown-Bethlehem-Easton, PA-NJ32$775,5666,880138
Houston-Pasadena-The Woodlands, TX41$579,3895,162107
Los Angeles-Long Beach-Anaheim, CA32$472,6404,22690
Dallas-Fort Worth-Arlington, TX32$408,8783,704105
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD38$400,2583,58371
Boston-Cambridge-Newton, MA-NH40$392,6673,48873
Greenville-Anderson-Greer, SC21$386,6513,52599
Las Vegas-Henderson-North Las Vegas, NV28$348,0463,14068
Minneapolis-St. Paul-Bloomington, MN-WI31$316,7622,83462
Cincinnati, OH-KY-IN27$314,1882,81194
Bridgeport-Stamford-Danbury, CT25$313,1342,84882

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 48 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing J7323 nationally

Orthopedic Surgery accounts for 48% of payment for J7323 nationally in 2020, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery97447%$12,247,51748%109,407112
Physician Assistant56027%$6,120,54624%54,92698
Sports Medicine1185.8%$1,609,5486.4%14,380122
Nurse Practitioner1125.5%$1,360,3845.4%12,203109
Family Practice703.4%$1,082,3424.3%9,663138
Rheumatology824.0%$1,056,7884.2%9,397115
Physical Medicine and Rehabilitation572.8%$702,1472.8%6,265110
Internal Medicine200.97%$356,5971.4%3,157158
Interventional Pain Management140.68%$153,7060.61%1,37598
Emergency Medicine110.54%$151,5380.60%1,351123
Pain Management110.54%$146,8140.58%1,315120

Not listed: 11 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 2020.

Top billers of J7323 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