HCPCS 64721

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

Procedures Work RVU per service 4.97 (2021 fee schedule)

3,173
93rd percentile among 6,253 codes billed · 2021
$47M
96th percentile among 6,253 codes billed · 2021
113K
86th percentile among 6,253 codes billed · 2021
26
54th percentile among 6,253 codes billed · 2021
88
53rd percentile among 6,253 codes billed · 2021
+9.3%
Medicare payment on the code vs 2020; billers +4.1% · 2021

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
Florida206$3,387,6727,9342797
California209$3,114,0696,5982378
Illinois153$2,812,7246,32830105
Pennsylvania153$2,530,9696,02127101
Texas139$1,755,6254,5412390
New York116$1,679,9083,6682581
North Carolina112$1,622,3114,0382498
Ohio136$1,611,4654,1912376
Indiana98$1,527,5343,6372781
Tennessee89$1,490,5763,64831103
Michigan114$1,428,0093,4262168
Washington72$1,420,0183,10830101
New Jersey84$1,335,2422,6752965
Arizona70$1,302,3863,00828126
Virginia77$1,263,1163,0103188

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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ128$2,020,1584,07429
Chicago-Naperville-Elgin, IL-IN94$1,658,8573,54529
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD57$1,370,9572,96139
Phoenix-Mesa-Chandler, AZ40$831,4071,94630
Boston-Cambridge-Newton, MA-NH52$790,0632,04834
Washington-Arlington-Alexandria, DC-VA-MD-WV47$707,6251,49222
Los Angeles-Long Beach-Anaheim, CA54$690,3741,48123
Detroit-Warren-Dearborn, MI42$672,0221,54426
Indianapolis-Carmel-Greenwood, IN42$638,9841,49626
Atlanta-Sandy Springs-Roswell, GA48$623,9771,36320
Dallas-Fort Worth-Arlington, TX37$565,1141,37426
Seattle-Tacoma-Bellevue, WA31$486,8981,02826
Nashville-Davidson--Murfreesboro--Franklin, TN31$460,1021,11431
Minneapolis-St. Paul-Bloomington, MN-WI37$457,66299619
Pittsburgh, PA32$446,6371,16728

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 2021.

Specialties billing 64721 nationally

Ambulatory Surgical Center accounts for 54% of payment for 64721 nationally in 2021, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center90028%$25,428,16754%42,68047
Orthopedic Surgery1,22739%$10,574,26522%33,85128
Hand Surgery85927%$9,980,21021%31,70737
Plastic and Reconstructive Surgery1284.0%$1,033,0662.2%3,36926
General Surgery180.57%$205,3680.43%68338
Neurosurgery270.85%$132,2320.28%44617

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 2021.

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