HCPCS 64721

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

Procedures Work RVU per service 4.97 (2023 fee schedule)

3,206
93rd percentile among 6,405 codes billed · 2023
$52M
96th percentile among 6,405 codes billed · 2023
121K
86th percentile among 6,405 codes billed · 2023
27
55th percentile among 6,405 codes billed · 2023
97
54th percentile among 6,405 codes billed · 2023
+6.4%
Medicare payment on the code vs 2022; billers +1.1% · 2023

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
California244$4,325,2878,5562496
Florida188$3,342,3897,91030112
Illinois138$2,832,3566,19834107
Pennsylvania155$2,642,7546,2933092
Texas147$1,870,3114,7622384
Ohio130$1,805,4864,6092786
Arizona72$1,694,5683,83740163
North Carolina120$1,690,1094,2572677
New York109$1,666,9903,6722586
Indiana99$1,602,2863,85729104
Tennessee91$1,541,0373,79429111
New Jersey89$1,478,5212,9882875
Washington73$1,437,9333,19831103
Virginia92$1,420,4703,4003095
Massachusetts77$1,383,9063,4393398

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ130$2,089,9414,23827
Chicago-Naperville-Elgin, IL-IN94$1,852,3483,85931
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD61$1,484,6653,17635
Phoenix-Mesa-Chandler, AZ41$1,063,7642,42143
Los Angeles-Long Beach-Anaheim, CA64$1,053,3612,14125
Washington-Arlington-Alexandria, DC-VA-MD-WV57$1,002,6892,10028
Boston-Cambridge-Newton, MA-NH50$785,4842,02933
Atlanta-Sandy Springs-Roswell, GA50$609,6221,32721
Dallas-Fort Worth-Arlington, TX39$608,5691,46427
Detroit-Warren-Dearborn, MI37$602,6501,38327
Indianapolis-Carmel-Greenwood, IN41$600,0751,47927
Denver-Aurora-Centennial, CO31$503,1581,09728
Pittsburgh, PA35$501,2731,32933
Seattle-Tacoma-Bellevue, WA31$496,12299626
San Francisco-Oakland-Fremont, CA25$468,34175622

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 65 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 64721 nationally

Ambulatory Surgical Center accounts for 55% of payment for 64721 nationally in 2023, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center91429%$28,414,79255%45,75250
Orthopedic Surgery1,22438%$11,055,12721%36,09929
Hand Surgery88528%$10,526,98320%33,94238
Plastic and Reconstructive Surgery1263.9%$1,088,9022.1%3,59529
General Surgery160.50%$199,3380.39%67042
Neurosurgery210.66%$113,8180.22%38618

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 2023.

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