HCPCS J7323

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

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

2,278
91st percentile among 6,326 codes billed · 2022
$26M
94th percentile among 6,326 codes billed · 2022
260K
90th percentile among 6,326 codes billed · 2022
77
83rd percentile among 6,326 codes billed · 2022
313
75th percentile among 6,326 codes billed · 2022
-1.3%
Medicare payment on the code vs 2021; billers +4.0% · 2022

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 York193$2,844,83527,78491405
Pennsylvania255$2,708,55426,65072283
Illinois127$2,159,25321,275107420
California115$1,727,81216,956102336
Texas117$1,520,31714,90199315
Georgia90$1,129,91111,14090304
New Jersey80$1,076,24410,58292383
Ohio107$1,059,09510,49279213
South Carolina72$1,024,67110,24881334
Florida88$986,1489,66575319
Tennessee80$856,6868,51076256
North Carolina65$748,6057,40482287
Massachusetts63$715,2007,02776270
Washington56$582,9805,76374256
Indiana56$543,3455,34068276

Not listed: 12 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-NJ201$2,927,41628,58485
Chicago-Naperville-Elgin, IL-IN85$1,647,84116,207122
Pittsburgh, PA104$991,6589,77771
Allentown-Bethlehem-Easton, PA-NJ46$928,6359,092143
Atlanta-Sandy Springs-Roswell, GA61$843,7438,31096
Houston-Pasadena-The Woodlands, TX53$769,9647,533108
Los Angeles-Long Beach-Anaheim, CA43$678,8376,635110
Boston-Cambridge-Newton, MA-NH58$577,0495,66476
Greenville-Anderson-Greer, SC34$512,4295,10183
Memphis, TN-MS-AR26$379,3633,755118
Charlotte-Concord-Gastonia, NC-SC31$358,8723,52174
Las Vegas-Henderson-North Las Vegas, NV28$357,6943,49987
Dallas-Fort Worth-Arlington, TX27$354,6483,49199
Virginia Beach-Chesapeake-Norfolk, VA-NC36$346,1923,43565
Cincinnati, OH-KY-IN31$303,8142,99878

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 57 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 J7323 nationally

Orthopedic Surgery accounts for 46% of payment for J7323 nationally in 2022, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery1,00044%$12,093,62046%119,073119
Physician Assistant71031%$7,104,71927%70,15199
Sports Medicine1416.2%$1,928,5697.3%19,048135
Nurse Practitioner1265.5%$1,309,4215.0%12,918103
Family Practice813.6%$1,178,5504.5%11,575143
Physical Medicine and Rehabilitation803.5%$1,019,0833.9%10,004125
Rheumatology622.7%$755,1172.9%7,400119
Interventional Pain Management180.79%$261,2660.99%2,525140
Internal Medicine120.53%$187,0510.71%1,837153
Pain Management130.57%$109,1740.41%1,07583

Not listed: 12 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 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