HCPCS J7325

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

1,867
90th percentile among 6,116 codes billed · 2020
$28M
94th percentile among 6,116 codes billed · 2020
3.2M
98th percentile among 6,116 codes billed · 2020
1,248
97th percentile among 6,116 codes billed · 2020
4,166
96th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$20M2020: $28M paid20202021: $28M paid20212022: $25M paid20222023: $24M paid20232024: $21M paid2024$21M$0$20M2020: $28M paid20202021: $28M paid20212022: $25M paid20222023: $24M paid20232024: $21M paid2024$21M$0$20M2020: $28M paid20202021: $28M paid20212022: $25M paid20222023: $24M paid20232024: $21M paid2024$21M$0$20M2020: $28M paid20202021: $28M paid20212022: $25M paid20222023: $24M paid20232024: $21M paid2024$21M

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

Billers

01,0002,0002020: 1,867 providers20202021: 1,842 providers20212022: 1,781 providers20222023: 1,793 providers20232024: 1,653 providers20241,65301,0002,0002020: 1,867 providers20202021: 1,842 providers20212022: 1,781 providers20222023: 1,793 providers20232024: 1,653 providers20241,65301,0002,0002020: 1,867 providers20202021: 1,842 providers20212022: 1,781 providers20222023: 1,793 providers20232024: 1,653 providers20241,65301,0002,0002020: 1,867 providers20202021: 1,842 providers20212022: 1,781 providers20222023: 1,793 providers20232024: 1,653 providers20241,653

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
20241,653$21,151,093-12%3,066,5141,2964,6750.00
20231,793$24,080,220-4% (2023 changed hospital and observation visit codes)3,304,9831,3124,7420.00
20221,781$25,101,294-11%3,178,2561,2964,7040.00
20211,842$28,297,068– (Not compared: 2021 changed office visit values)3,339,1101,2964,4920.00
20201,867$27,510,865first year in data3,245,2331,2484,1660.00

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
Texas146$2,216,186263,9221,3173,760
California100$2,121,236249,1361,3946,398
Pennsylvania132$1,926,392226,9551,2574,333
New York101$1,588,586186,7651,3125,664
North Carolina106$1,361,122159,8911,1763,360
Illinois60$1,221,906143,6091,5608,438
Alabama72$1,041,141124,7821,3204,384
Florida68$992,708116,8551,3443,776
New Jersey52$976,958114,1531,2415,316
Missouri58$965,095114,1991,4644,787
Maryland58$910,869108,0401,3055,044
Minnesota76$870,954102,6881,1762,628
Washington60$862,317101,3691,3443,154
South Carolina48$809,21495,7391,2965,305
Ohio69$798,49494,2191,1532,726

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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ96$1,753,829205,4581,273
Los Angeles-Long Beach-Anaheim, CA33$951,141111,4581,297
Chicago-Naperville-Elgin, IL-IN30$686,33580,4721,672
Charlotte-Concord-Gastonia, NC-SC45$632,36674,1441,248
Minneapolis-St. Paul-Bloomington, MN-WI56$612,15272,2721,104
Dallas-Fort Worth-Arlington, TX40$588,95569,8441,347
Baltimore-Columbia-Towson, MD31$543,54564,7071,392
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD39$530,34362,2411,250
Harrisburg-Carlisle, PA18$486,27057,0782,232
Houston-Pasadena-The Woodlands, TX29$441,15252,0441,536
Birmingham, AL27$428,48451,5361,296
Louisville/Jefferson County, KY-IN20$409,80647,6491,633
Seattle-Tacoma-Bellevue, WA33$401,89547,3131,200
Phoenix-Mesa-Chandler, AZ29$397,78547,3161,200
Las Vegas-Henderson-North Las Vegas, NV12$356,96842,2101,441

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 43 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing J7325 nationally

Orthopedic Surgery accounts for 59% of payment for J7325 nationally in 2020, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery1,09359%$16,200,09559%1,910,7741,748
Physician Assistant38220%$5,029,90818%595,4951,559
Sports Medicine844.5%$1,436,4255.2%169,1702,014
Physical Medicine and Rehabilitation492.6%$979,0223.6%114,7742,342
Nurse Practitioner683.6%$884,0413.2%104,4471,536
Family Practice713.8%$867,1583.2%102,5211,444
Rheumatology563.0%$814,1513.0%95,7561,710
Internal Medicine251.3%$531,5401.9%62,1752,487

Not listed: 13 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 2020.

Top billers of J7325 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