HCPCS J7324

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

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

1,509
89th percentile among 6,405 codes billed · 2023
$20M
92nd percentile among 6,405 codes billed · 2023
202K
89th percentile among 6,405 codes billed · 2023
84
84th percentile among 6,405 codes billed · 2023
428
78th percentile among 6,405 codes billed · 2023
-17.7%
Medicare payment on the code vs 2022; billers -5.5%. 2023 changed hospital and observation visit codes · 2023

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
California175$2,947,72129,819102535
New York151$2,503,00725,181104541
New Jersey166$2,372,24524,133105489
Florida119$1,682,12217,09885340
Texas89$1,349,21313,665104540
Pennsylvania100$958,7689,85671251
Illinois56$779,3767,91790493
Virginia58$637,1426,44576296
Maryland40$616,4066,28087438
Arizona34$578,7315,886130492
Ohio56$572,5845,76781222
Kentucky34$456,7334,67274496
Connecticut44$419,4264,29082170
Tennessee34$383,4183,93687267
Georgia34$345,3413,51083293

Not listed: 20 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-NJ213$3,634,03136,644107
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD131$1,512,74415,47183
Los Angeles-Long Beach-Anaheim, CA77$1,441,89614,564113
Chicago-Naperville-Elgin, IL-IN47$718,0257,27693
San Jose-Sunnyvale-Santa Clara, CA35$606,5216,169103
Phoenix-Mesa-Chandler, AZ31$554,2815,630137
Washington-Arlington-Alexandria, DC-VA-MD-WV33$466,7524,73092
Baltimore-Columbia-Towson, MD29$465,1024,73787
Houston-Pasadena-The Woodlands, TX28$406,1954,098108
Cincinnati, OH-KY-IN38$342,2173,43966
Miami-Fort Lauderdale-West Palm Beach, FL28$341,3763,43983
San Antonio-New Braunfels, TX14$254,0302,547111
Lexington-Fayette, KY14$246,3902,50395
Bridgeport-Stamford-Danbury, CT21$218,7992,23184
Omaha, NE-IA26$216,3322,16874

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 35 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 J7324 nationally

Orthopedic Surgery accounts for 44% of payment for J7324 nationally in 2023, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery63842%$8,677,34344%87,977138
Physician Assistant40527%$4,464,79422%45,461112
Sports Medicine1117.4%$2,021,44310%20,602186
Nurse Practitioner966.4%$1,140,3505.7%11,598121
Family Practice674.4%$969,0694.9%9,839147
Physical Medicine and Rehabilitation604.0%$791,3494.0%7,995133
Rheumatology362.4%$538,8112.7%5,464152
Pain Management231.5%$371,9011.9%3,736162
Internal Medicine140.93%$219,3281.1%2,219159
Interventional Pain Management181.2%$151,6220.76%1,52685
Anesthesiology110.73%$103,8130.52%1,03894

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 2023.

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