HCPCS J7324

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

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

1,664
89th percentile among 6,253 codes billed · 2021
$26M
93rd percentile among 6,253 codes billed · 2021
240K
90th percentile among 6,253 codes billed · 2021
92
86th percentile among 6,253 codes billed · 2021
431
79th 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: $26M paid20212022: $24M paid20222023: $20M paid20232024: $18M paid2024$18M$0$10M$20M2020: $25M paid20202021: $26M paid20212022: $24M paid20222023: $20M paid20232024: $18M paid2024$18M$0$10M$20M2020: $25M paid20202021: $26M paid20212022: $24M paid20222023: $20M paid20232024: $18M paid2024$18M$0$10M$20M2020: $25M paid20202021: $26M paid20212022: $24M paid20222023: $20M paid20232024: $18M paid2024$18M

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

Billers

01,0002020: 1,753 providers20202021: 1,664 providers20212022: 1,596 providers20222023: 1,509 providers20232024: 1,442 providers20241,44201,0002020: 1,753 providers20202021: 1,664 providers20212022: 1,596 providers20222023: 1,509 providers20232024: 1,442 providers20241,44201,0002020: 1,753 providers20202021: 1,664 providers20212022: 1,596 providers20222023: 1,509 providers20232024: 1,442 providers20241,44201,0002020: 1,753 providers20202021: 1,664 providers20212022: 1,596 providers20222023: 1,509 providers20232024: 1,442 providers20241,442

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
20241,442$18,169,935-9%187,669813790.00
20231,509$19,874,827-18% (2023 changed hospital and observation visit codes)201,791844280.00
20221,596$24,146,009-6%213,787843870.00
20211,664$25,649,720– (Not compared: 2021 changed office visit values)239,686924310.00
20201,753$25,384,687first year in data242,640893920.00

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
California193$3,761,80834,994109571
New Jersey168$3,302,27530,929125486
New York153$2,570,71424,05595568
Florida166$2,367,53722,07890425
Pennsylvania103$2,039,36018,912104618
Texas102$1,543,72114,45790384
Illinois56$1,109,69710,321121496
Tennessee55$763,4207,144102354
Maryland38$732,8846,933101637
Virginia66$725,9306,80670279
Ohio54$632,0745,91794204
Connecticut47$594,6015,54594239
Arizona43$590,3895,51489364
Kentucky34$445,7114,16087318
Alabama33$434,5204,08069432

Not listed: 17 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-NJ206$3,894,15036,478115
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD144$3,074,75628,555106
Los Angeles-Long Beach-Anaheim, CA75$1,532,96014,191108
Chicago-Naperville-Elgin, IL-IN51$1,118,89010,387123
Fresno, CA18$741,8336,938166
San Jose-Sunnyvale-Santa Clara, CA31$585,7245,452120
Phoenix-Mesa-Chandler, AZ41$577,0225,38295
Washington-Arlington-Alexandria, DC-VA-MD-WV41$564,2535,27582
Baltimore-Columbia-Towson, MD22$500,4504,750123
Houston-Pasadena-The Woodlands, TX36$482,9974,55390
Miami-Fort Lauderdale-West Palm Beach, FL35$459,4634,25878
Memphis, TN-MS-AR17$372,8313,451135
Cincinnati, OH-KY-IN30$358,2183,358100
Austin-Round Rock-San Marcos, TX13$323,3543,02694
Atlantic City-Hammonton, NJ13$320,6632,991221

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 36 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 J7324 nationally

Orthopedic Surgery accounts for 48% of payment for J7324 nationally in 2021, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery80448%$12,360,11648%115,590144
Physician Assistant39724%$5,183,49820%48,550122
Sports Medicine1257.5%$3,175,64612%29,622237
Family Practice643.8%$1,112,9954.3%10,338162
Nurse Practitioner824.9%$982,6953.8%9,211112
Physical Medicine and Rehabilitation503.0%$735,6882.9%6,821136
Rheumatology492.9%$656,8872.6%6,150126
Internal Medicine181.1%$418,1421.6%3,889216
Pain Management130.78%$214,0090.83%1,953150
Interventional Pain Management150.90%$182,8820.71%1,695113

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 2021.

Top billers of J7324 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