HCPCS J7323

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

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

2,315
91st percentile among 6,405 codes billed · 2023
$26M
94th percentile among 6,405 codes billed · 2023
268K
91st percentile among 6,405 codes billed · 2023
77
82nd percentile among 6,405 codes billed · 2023
328
75th percentile among 6,405 codes billed · 2023
-0.2%
Medicare payment on the code vs 2022; billers +1.6%. 2023 changed hospital and observation visit codes · 2023

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 York210$3,305,55633,334106451
Pennsylvania259$2,757,97228,15578291
Illinois143$1,915,89519,57189354
California118$1,608,33916,29299353
Texas110$1,346,69013,71082301
Tennessee96$1,213,61612,42291442
South Carolina88$1,158,54311,90777365
New Jersey91$1,122,59111,45878350
Florida82$1,053,38110,71894432
Ohio99$1,042,19710,59378250
Georgia76$917,7879,34581297
Massachusetts79$808,6548,16871267
North Carolina74$762,2257,71772281
Indiana46$542,0425,52485330
Utah49$534,5645,47376308

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ230$3,498,07035,30095
Chicago-Naperville-Elgin, IL-IN97$1,402,59014,313102
Pittsburgh, PA114$1,022,91910,47368
Allentown-Bethlehem-Easton, PA-NJ54$995,19910,106127
Houston-Pasadena-The Woodlands, TX47$702,2927,159121
Atlanta-Sandy Springs-Roswell, GA54$680,6036,90671
Los Angeles-Long Beach-Anaheim, CA43$635,7246,409108
Boston-Cambridge-Newton, MA-NH60$605,8366,13671
Memphis, TN-MS-AR34$567,7485,805114
Greenville-Anderson-Greer, SC38$519,0545,31774
Palm Bay-Melbourne-Titusville, FL16$370,7563,786141
Dallas-Fort Worth-Arlington, TX32$351,9263,58479
Phoenix-Mesa-Chandler, AZ37$342,8603,46064
Charlotte-Concord-Gastonia, NC-SC27$328,8983,33066
Virginia Beach-Chesapeake-Norfolk, VA-NC32$318,9763,24570

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 55 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 J7323 nationally

Orthopedic Surgery accounts for 45% of payment for J7323 nationally in 2023, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery96942%$11,814,98045%120,160124
Physician Assistant76033%$7,710,63429%78,666104
Sports Medicine1586.8%$1,856,3487.1%19,022120
Nurse Practitioner1456.3%$1,476,8245.6%15,071104
Family Practice893.8%$1,118,6144.3%11,400128
Physical Medicine and Rehabilitation793.4%$944,8433.6%9,558121
Rheumatology441.9%$481,4531.8%4,852110
Interventional Pain Management110.48%$212,3450.81%2,128193
Internal Medicine150.65%$202,2300.77%2,039136
Pain Management120.52%$141,1930.54%1,420118

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 2023.

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