HCPCS 64721
Procedure (ClaimLight category; the code descriptor is not shown)
Procedures Work RVU per service 4.97 (2020 fee schedule)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 3,217 | $53,038,970 | +3% | 121,795 | 28 | 97 | 4.97 |
| 2023 | 3,206 | $51,580,831 | +6% | 120,999 | 27 | 97 | 4.97 |
| 2022 | 3,170 | $48,457,819 | +2% | 115,457 | 27 | 91 | 4.97 |
| 2021 | 3,173 | $47,474,379 | +9% | 113,090 | 26 | 88 | 4.97 |
| 2020 | 3,048 | $43,425,115 | first year in data | 104,542 | 25 | 86 | 4.97 |
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 | |
|---|---|---|---|---|---|---|
| Florida | 203 | $3,165,272 | 7,509 | 26 | 96 | |
| California | 197 | $2,977,427 | 6,167 | 21 | 75 | |
| Illinois | 132 | $2,375,138 | 5,410 | 34 | 90 | |
| Pennsylvania | 140 | $2,160,912 | 5,193 | 28 | 96 | |
| Texas | 146 | $1,659,446 | 4,431 | 22 | 75 | |
| North Carolina | 110 | $1,585,584 | 4,020 | 25 | 107 | |
| Indiana | 98 | $1,428,893 | 3,517 | 26 | 80 | |
| New York | 108 | $1,427,063 | 3,215 | 24 | 70 | |
| Ohio | 128 | $1,402,865 | 3,725 | 22 | 68 | |
| Washington | 67 | $1,379,531 | 3,097 | 34 | 113 | |
| Tennessee | 82 | $1,320,472 | 3,241 | 30 | 104 | |
| Michigan | 107 | $1,284,968 | 3,156 | 24 | 74 | |
| Virginia | 87 | $1,206,093 | 2,877 | 25 | 88 | |
| Arizona | 68 | $1,183,896 | 2,792 | 26 | 110 | |
| New Jersey | 78 | $1,163,841 | 2,341 | 25 | 60 |
Not listed: 6 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-NJ | 115 | $1,664,548 | 3,373 | 24 | |
| Chicago-Naperville-Elgin, IL-IN | 82 | $1,407,909 | 3,032 | 30 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 52 | $1,103,855 | 2,373 | 33 | |
| Phoenix-Mesa-Chandler, AZ | 38 | $695,931 | 1,665 | 28 | |
| Los Angeles-Long Beach-Anaheim, CA | 52 | $676,848 | 1,406 | 21 | |
| Boston-Cambridge-Newton, MA-NH | 48 | $658,513 | 1,728 | 28 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 41 | $630,555 | 1,320 | 25 | |
| Detroit-Warren-Dearborn, MI | 41 | $599,687 | 1,403 | 26 | |
| Atlanta-Sandy Springs-Roswell, GA | 49 | $573,455 | 1,296 | 21 | |
| Indianapolis-Carmel-Greenwood, IN | 40 | $564,175 | 1,359 | 24 | |
| Dallas-Fort Worth-Arlington, TX | 42 | $524,559 | 1,316 | 23 | |
| Minneapolis-St. Paul-Bloomington, MN-WI | 32 | $443,705 | 950 | 23 | |
| Seattle-Tacoma-Bellevue, WA | 27 | $435,644 | 939 | 30 | |
| Charlotte-Concord-Gastonia, NC-SC | 28 | $406,762 | 1,013 | 30 | |
| Pittsburgh, PA | 27 | $397,069 | 1,020 | 32 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 60 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 64721 nationally
Ambulatory Surgical Center accounts for 54% of payment for 64721 nationally in 2020, across 6 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Ambulatory Surgical Center | 867 | 28% | $23,507,450 | 54% | 40,128 | 46 |
| Orthopedic Surgery | 1,207 | 40% | $9,950,319 | 23% | 32,231 | 27 |
| Hand Surgery | 802 | 26% | $8,748,879 | 20% | 28,142 | 35 |
| Plastic and Reconstructive Surgery | 114 | 3.7% | $814,991 | 1.9% | 2,715 | 24 |
| General Surgery | 14 | 0.46% | $139,683 | 0.32% | 484 | 35 |
| Neurosurgery | 27 | 0.89% | $133,892 | 0.31% | 465 | 17 |
Not listed: 7 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 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