HCPCS J7323

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

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

2,190
91st percentile among 6,253 codes billed · 2021
$27M
93rd percentile among 6,253 codes billed · 2021
251K
90th percentile among 6,253 codes billed · 2021
78
83rd percentile among 6,253 codes billed · 2021
326
76th percentile among 6,253 codes billed · 2021
–
Not compared: 2021 changed office visit values · 2021

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
New York195$2,832,33326,41192375
Pennsylvania245$2,824,59326,50773274
Illinois127$2,049,62119,15699393
California118$1,744,91616,31793367
Texas115$1,523,58214,29696343
Georgia97$1,324,66012,43984382
New Jersey85$1,169,72111,00475404
Ohio115$1,161,39810,94675271
Florida79$938,4018,74578329
South Carolina59$863,0318,23586399
North Carolina65$784,3047,37393237
Tennessee62$772,0767,26384283
Washington56$740,3666,95377388
Massachusetts56$641,8225,96676306
Utah43$521,4304,94683233

Not listed: 15 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

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ205$2,954,56627,57882
Chicago-Naperville-Elgin, IL-IN80$1,403,03813,122123
Pittsburgh, PA96$976,8359,15368
Atlanta-Sandy Springs-Roswell, GA63$968,6199,091102
Allentown-Bethlehem-Easton, PA-NJ36$912,1128,505140
Houston-Pasadena-The Woodlands, TX43$712,5786,659119
Los Angeles-Long Beach-Anaheim, CA41$609,3795,69295
Boston-Cambridge-Newton, MA-NH50$501,3884,65475
Greenville-Anderson-Greer, SC28$448,8054,272108
Dallas-Fort Worth-Arlington, TX38$421,6713,97875
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD32$361,2813,38675
Cincinnati, OH-KY-IN31$346,0193,25477
Memphis, TN-MS-AR20$328,5433,093149
Minneapolis-St. Paul-Bloomington, MN-WI29$312,0472,93770
Virginia Beach-Chesapeake-Norfolk, VA-NC34$312,0442,94959

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 52 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 J7323 nationally

Orthopedic Surgery accounts for 46% of payment for J7323 nationally in 2021, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery98845%$12,403,39446%116,392118
Physician Assistant62829%$6,798,27525%63,872102
Sports Medicine1396.3%$1,903,9757.1%17,937129
Nurse Practitioner1275.8%$1,405,2945.3%13,190104
Family Practice753.4%$1,135,5984.3%10,657142
Rheumatology773.5%$1,022,6243.8%9,546124
Physical Medicine and Rehabilitation713.2%$917,7793.4%8,566121
Internal Medicine160.73%$283,2001.1%2,660166
Interventional Pain Management160.73%$234,8420.88%2,185137
Emergency Medicine110.50%$116,6310.44%1,100100
Pain Management120.55%$100,9630.38%94879

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 2021.

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