HCPCS 64721

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

Procedures Work RVU per service 4.97 (2022 fee schedule)

3,170
93rd percentile among 6,326 codes billed · 2022
$48M
96th percentile among 6,326 codes billed · 2022
115K
86th percentile among 6,326 codes billed · 2022
27
55th percentile among 6,326 codes billed · 2022
91
53rd percentile among 6,326 codes billed · 2022
+2.1%
Medicare payment on the code vs 2021; billers -0.1% · 2022

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
Florida193$3,351,1287,91632109
California215$3,214,0996,8972282
Illinois142$2,747,4916,10034106
Pennsylvania146$2,354,2035,5732883
Texas151$1,774,2324,6682180
Ohio134$1,710,1364,4672577
New York118$1,701,9883,7662576
North Carolina115$1,611,0934,0552598
Indiana101$1,558,4053,7452694
Arizona70$1,550,7443,48235149
Michigan113$1,397,1883,3382365
Washington73$1,385,7453,0403096
Tennessee82$1,381,8193,38333113
Maryland63$1,356,9812,82925125
Massachusetts76$1,346,9863,3533393

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ121$1,937,4683,89327
Chicago-Naperville-Elgin, IL-IN93$1,705,9813,59130
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD56$1,346,4422,85039
Phoenix-Mesa-Chandler, AZ38$1,005,0172,25544
Washington-Arlington-Alexandria, DC-VA-MD-WV58$927,9761,99725
Los Angeles-Long Beach-Anaheim, CA60$828,4521,77623
Boston-Cambridge-Newton, MA-NH51$793,6242,06233
Detroit-Warren-Dearborn, MI45$677,7821,55724
Atlanta-Sandy Springs-Roswell, GA52$646,6471,41619
Dallas-Fort Worth-Arlington, TX41$537,8771,31621
Indianapolis-Carmel-Greenwood, IN42$522,8651,30224
Seattle-Tacoma-Bellevue, WA32$461,41996021
Nashville-Davidson--Murfreesboro--Franklin, TN26$445,8811,06537
Denver-Aurora-Centennial, CO36$427,81598424
Pittsburgh, PA31$425,2171,11527

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 61 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 64721 nationally

Ambulatory Surgical Center accounts for 54% of payment for 64721 nationally in 2022, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center89428%$26,178,64554%43,42249
Orthopedic Surgery1,24539%$10,760,28422%34,88028
Hand Surgery86127%$10,109,91721%32,51638
Plastic and Reconstructive Surgery1223.8%$1,002,0412.1%3,29827
General Surgery190.60%$202,4430.42%69937
Neurosurgery150.47%$78,3060.16%26418

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 2022.

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