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 (2023 fee schedule; adds 0 work RVUs)

1,793
90th percentile among 6,405 codes billed · 2023
$24M
93rd percentile among 6,405 codes billed · 2023
3.3M
98th percentile among 6,405 codes billed · 2023
1,312
96th percentile among 6,405 codes billed · 2023
4,742
96th percentile among 6,405 codes billed · 2023
-4.1%
Medicare payment on the code vs 2022; billers +0.7%. 2023 changed hospital and observation visit codes · 2023

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
California109$2,200,989299,7221,4886,711
New York125$1,785,682244,7001,2645,391
Pennsylvania126$1,763,184243,0011,3445,125
Texas113$1,431,286197,3121,4404,000
North Carolina111$1,167,252159,8831,1523,056
Florida72$1,083,083148,2591,1366,178
Illinois63$1,033,533142,1321,6965,774
Washington86$956,646131,0831,3852,784
Alabama71$908,607125,7111,4744,208
Maryland54$881,996120,5651,5046,012
Missouri52$810,926111,7791,6325,449
Minnesota73$805,233110,4031,2962,918
Ohio71$804,103110,8891,1524,752
South Carolina44$777,006106,4651,6007,123
Louisiana48$648,03188,8451,3693,754

Not listed: 15 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-NJ83$1,142,853155,9121,200
Los Angeles-Long Beach-Anaheim, CA30$928,251125,6681,513
Chicago-Naperville-Elgin, IL-IN34$661,00590,6471,824
Charlotte-Concord-Gastonia, NC-SC53$636,70786,9761,248
Harrisburg-Carlisle, PA25$557,42276,6891,872
Dallas-Fort Worth-Arlington, TX45$534,40174,3301,248
Minneapolis-St. Paul-Bloomington, MN-WI51$531,05072,9771,248
Baltimore-Columbia-Towson, MD30$508,70269,4911,376
Seattle-Tacoma-Bellevue, WA49$489,92867,1251,296
Kiryas Joel-Poughkeepsie-Newburgh, NY21$462,88263,0821,824
Houston-Pasadena-The Woodlands, TX26$367,75550,2111,536
Birmingham, AL24$362,37150,5521,704
Phoenix-Mesa-Chandler, AZ22$313,70843,2811,512
St. Louis, MO-IL19$275,74537,5921,440
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD30$272,28837,334970

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 2023.

Specialties billing J7325 nationally

Orthopedic Surgery accounts for 51% of payment for J7325 nationally in 2023, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery88549%$12,280,73251%1,683,9321,903
Physician Assistant48227%$5,903,42925%812,8351,686
Sports Medicine1206.7%$1,811,6937.5%248,8632,074
Physical Medicine and Rehabilitation553.1%$1,021,2854.2%138,9352,526
Nurse Practitioner854.7%$898,1513.7%124,2251,461
Family Practice643.6%$862,9383.6%118,9601,859
Rheumatology402.2%$504,4812.1%68,7501,719
Internal Medicine181.0%$293,9251.2%40,0322,224
Emergency Medicine120.67%$156,5670.65%21,5001,792
Pain Management150.84%$149,7560.62%20,3641,358

Not listed: 9 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 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