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 (2021 fee schedule; adds 0 work RVUs)

1,842
90th percentile among 6,253 codes billed · 2021
$28M
94th percentile among 6,253 codes billed · 2021
3.3M
98th percentile among 6,253 codes billed · 2021
1,296
97th percentile among 6,253 codes billed · 2021
4,492
96th percentile among 6,253 codes billed · 2021
–
Not compared: 2021 changed office visit values · 2021

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
California110$2,316,887270,5421,4746,688
Pennsylvania129$1,967,540232,5151,4404,294
Texas121$1,898,665225,3071,3924,256
New York114$1,760,109208,8811,2965,173
Illinois69$1,429,847167,9001,5847,392
North Carolina112$1,407,617166,2351,1443,118
Missouri67$1,110,109131,2121,5205,828
Maryland63$1,059,530125,9001,5845,175
Ohio78$969,554114,9951,1282,942
Washington70$966,905113,7111,3283,235
Florida60$958,043112,1461,3925,030
New Jersey46$930,858109,5341,6325,616
South Carolina45$930,199109,5231,6807,558
Minnesota76$918,612108,1831,1682,892
Alabama56$887,629106,4351,4804,587

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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ99$1,826,801216,2811,344
Los Angeles-Long Beach-Anaheim, CA33$971,662112,9781,680
Chicago-Naperville-Elgin, IL-IN38$859,253100,7901,384
Charlotte-Concord-Gastonia, NC-SC52$730,59685,7311,248
Baltimore-Columbia-Towson, MD35$641,60376,1861,344
Dallas-Fort Worth-Arlington, TX40$605,41571,9181,320
Minneapolis-St. Paul-Bloomington, MN-WI53$598,90170,5371,120
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD38$543,29164,2661,392
Seattle-Tacoma-Bellevue, WA40$522,01661,7751,224
Harrisburg-Carlisle, PA19$511,71860,3092,208
Houston-Pasadena-The Woodlands, TX28$472,65755,8121,379
St. Louis, MO-IL29$392,39146,0981,248
Birmingham, AL21$390,04246,9421,680
Phoenix-Mesa-Chandler, AZ21$380,44944,7011,152
Kiryas Joel-Poughkeepsie-Newburgh, NY14$333,09339,1622,000

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 40 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 J7325 nationally

Orthopedic Surgery accounts for 57% of payment for J7325 nationally in 2021, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery1,00855%$16,082,55857%1,896,8841,882
Physician Assistant41122%$5,556,15420%657,8931,601
Sports Medicine1015.5%$1,666,3895.9%196,6421,947
Physical Medicine and Rehabilitation522.8%$1,059,0573.7%123,5412,376
Nurse Practitioner864.7%$985,0103.5%116,5901,356
Family Practice703.8%$939,7713.3%111,2881,590
Rheumatology532.9%$845,4593.0%99,2691,873
Internal Medicine211.1%$441,8871.6%52,0702,480
Pain Management140.76%$186,4580.66%22,0441,575

Not listed: 10 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 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