HCPCS 64721

Procedure (ClaimLight category; the code descriptor is not shown)

Procedures Work RVU per service 4.97 (2024 fee schedule)

3,217
93rd percentile among 6,471 codes billed · 2024
$53M
96th percentile among 6,471 codes billed · 2024
122K
86th percentile among 6,471 codes billed · 2024
28
55th percentile among 6,471 codes billed · 2024
97
53rd percentile among 6,471 codes billed · 2024
+2.8%
Medicare payment on the code vs 2023; billers +0.3% · 2024

Trend

Medicare payment on the code

$0$20M$40M2020: $43M paid20202021: $47M paid20212022: $48M paid20222023: $52M paid20232024: $53M paid2024$53M$0$20M$40M2020: $43M paid20202021: $47M paid20212022: $48M paid20222023: $52M paid20232024: $53M paid2024$53M$0$20M$40M2020: $43M paid20202021: $47M paid20212022: $48M paid20222023: $52M paid20232024: $53M paid2024$53M$0$20M$40M2020: $43M paid20202021: $47M paid20212022: $48M paid20222023: $52M paid20232024: $53M paid2024$53M

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

Billers

02,0002020: 3,048 providers20202021: 3,173 providers20212022: 3,170 providers20222023: 3,206 providers20232024: 3,217 providers20243,21702,0002020: 3,048 providers20202021: 3,173 providers20212022: 3,170 providers20222023: 3,206 providers20232024: 3,217 providers20243,21702,0002020: 3,048 providers20202021: 3,173 providers20212022: 3,170 providers20222023: 3,206 providers20232024: 3,217 providers20243,21702,0002020: 3,048 providers20202021: 3,173 providers20212022: 3,170 providers20222023: 3,206 providers20232024: 3,217 providers20243,217

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
20243,217$53,038,970+3%121,79528974.97
20233,206$51,580,831+6%120,99927974.97
20223,170$48,457,819+2%115,45727914.97
20213,173$47,474,379+9%113,09026884.97
20203,048$43,425,115first year in data104,54225864.97

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
California234$4,350,9388,4492593
Florida187$3,641,3318,33335115
Illinois149$2,982,6406,4213699
Pennsylvania151$2,558,4266,03329108
Ohio134$1,972,5474,8802684
Texas156$1,925,6824,9122283
New York106$1,747,1673,7142790
Arizona81$1,722,2023,76427144
North Carolina118$1,701,0664,2292676
Tennessee97$1,696,6974,01329119
Massachusetts81$1,576,0993,80336111
Virginia97$1,557,5003,7582891
New Jersey85$1,555,8703,0673385
Indiana89$1,515,1013,5293193
Maryland67$1,501,4222,99027142

Not listed: 5 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ123$2,195,9694,33527
Chicago-Naperville-Elgin, IL-IN99$1,957,4704,00334
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD58$1,433,5403,00235
Phoenix-Mesa-Chandler, AZ44$1,132,4472,47235
Los Angeles-Long Beach-Anaheim, CA66$1,085,1072,20728
Washington-Arlington-Alexandria, DC-VA-MD-WV60$1,061,6622,21427
Boston-Cambridge-Newton, MA-NH61$907,0402,33832
Atlanta-Sandy Springs-Roswell, GA49$658,8871,33723
Detroit-Warren-Dearborn, MI41$648,4511,45827
Dallas-Fort Worth-Arlington, TX43$611,9021,46827
San Francisco-Oakland-Fremont, CA24$533,19281023
Pittsburgh, PA33$531,5961,35333
Indianapolis-Carmel-Greenwood, IN34$514,9621,21530
Denver-Aurora-Centennial, CO26$494,7951,04538
Minneapolis-St. Paul-Bloomington, MN-WI38$473,94299721

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 66 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 64721 nationally

Ambulatory Surgical Center accounts for 57% of payment for 64721 nationally in 2024, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center91628%$29,977,32457%46,06350
Orthopedic Surgery1,24139%$11,131,87221%36,77330
Hand Surgery88628%$10,429,66820%33,94538
Plastic and Reconstructive Surgery1233.8%$1,020,4671.9%3,47528
General Surgery170.53%$214,5660.40%70842
Neurosurgery170.53%$101,6110.19%33220

Not listed: 6 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 2024.

Top billers of 64721 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