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 (2022 fee schedule; adds 0 work RVUs)

1,781
90th percentile among 6,326 codes billed · 2022
$25M
93rd percentile among 6,326 codes billed · 2022
3.2M
98th percentile among 6,326 codes billed · 2022
1,296
96th percentile among 6,326 codes billed · 2022
4,704
96th percentile among 6,326 codes billed · 2022
-11.3%
Medicare payment on the code vs 2021; billers -3.3% · 2022

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
California113$2,197,432276,3191,2966,477
Pennsylvania121$1,743,867220,4631,2964,080
Texas112$1,648,073208,9761,3934,978
New York116$1,598,242201,6291,3214,761
North Carolina124$1,407,928177,7961,1042,982
Illinois70$1,269,933160,8981,5605,328
Maryland58$974,678123,2841,7125,878
Washington77$960,997121,6241,2653,562
Ohio75$897,497114,1431,2483,053
South Carolina45$851,882107,5451,4406,947
Florida53$839,589105,2651,1525,491
Missouri52$828,313105,4811,3965,830
Minnesota75$783,38099,5861,1522,822
Alabama56$770,25099,0901,4243,720
Louisiana46$650,14682,1971,4884,956

Not listed: 14 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ93$1,302,516163,8081,328
Los Angeles-Long Beach-Anaheim, CA30$870,215108,7691,440
Chicago-Naperville-Elgin, IL-IN39$798,348100,7961,696
Charlotte-Concord-Gastonia, NC-SC61$788,21399,0331,216
Baltimore-Columbia-Towson, MD33$557,07770,5931,744
Seattle-Tacoma-Bellevue, WA48$545,14668,8191,168
Dallas-Fort Worth-Arlington, TX36$535,97868,0621,392
Harrisburg-Carlisle, PA21$521,63665,8902,496
Minneapolis-St. Paul-Bloomington, MN-WI52$505,79764,5441,032
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD32$395,82249,6361,152
Houston-Pasadena-The Woodlands, TX25$395,01449,9131,424
Kiryas Joel-Poughkeepsie-Newburgh, NY17$387,87448,7102,576
Birmingham, AL24$352,04145,2481,408
Phoenix-Mesa-Chandler, AZ21$333,09942,1261,200
St. Louis, MO-IL18$269,59833,9831,400

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 39 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing J7325 nationally

Orthopedic Surgery accounts for 53% of payment for J7325 nationally in 2022, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery92052%$13,367,94753%1,691,3301,838
Physician Assistant44025%$5,647,94223%717,8321,631
Sports Medicine1086.1%$1,685,8046.7%213,3081,975
Physical Medicine and Rehabilitation553.1%$1,039,5654.1%130,5032,373
Nurse Practitioner854.8%$938,0613.7%119,9001,411
Family Practice764.3%$908,1403.6%115,0781,514
Rheumatology402.2%$600,5842.4%75,6421,891
Internal Medicine211.2%$373,9751.5%47,2402,250
Pain Management120.67%$148,8690.59%18,6251,552

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 2022.

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