How much does Medicare pay for HCPCS 0623T?

Medicare allowed an average of $1530.85 per service and paid $1213.78 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2902.47, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Which specialty bills 0623T most?

Cardiology, with 1,116 services from 16 clinicians. Next are Internal Medicine, Diagnostic Radiology, Interventional Cardiology.

HCPCS 0623T

Preparation, transmission and computerized analysis of ct angiography data on plaque in heart arteries, with review, interpretation, and report

$1530.85Medicare-allowed amount per service, averaged across 1,895 services

Providers submitted

$2902.47

Asking price, not received

Medicare allowed

$1530.85

The fee schedule figure

Medicare paid

$1213.78

Balance is patient coinsurance

Providers submitted an average of $2902.47 for this code and Medicare allowed $1530.85 — 1.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $1213.78 (79%); the rest is the patient’s coinsurance and deductible.

Services: 1,895
Beneficiaries: 1,883
Providers billing it: 28
Total allowed: $2,900,961

What Medicare pays for HCPCS 0623T

Across 1,895 services billed by 28 providers to 1,883 beneficiaries, Medicare allowed an average of $1530.85 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 0623T

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	1,116	1,105	$1568.71	16
Internal Medicine	481	481	$1478.19	3
Diagnostic Radiology	196	196	$1421.84	6
Interventional Cardiology	82	81	$1574.40	2
Family Practice	20	20	$1574.40	1

0623T reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	1,038	$1575.34	$1249.09	9
Mississippi	411	$1461.79	$1254.11	1
Texas	201	$1556.10	$1251.32	6
Louisiana	129	$1574.40	$1254.40	6
California	70	$1316.08	$1025.58	3
Alabama	17	$883.13	$703.69	1
New Jersey	15	$1326.60	$1044.87	1
Ohio	14	$1574.40	$1254.40	1

Related codes

0627TInjection of cell or tissue-based material into spinal disc of lower b$5524.37

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.