How much does Medicare pay for CPT 14020?

Medicare allowed an average of $695.44 per service and paid $547.11 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1725.21, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 14020?

Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less. It was billed 10,593 times to 9,176 Medicare beneficiaries by 255 providers in 2024.

Does 14020 pay differently in an office than a hospital?

Yes. The allowed amount averaged $702.19 in an office setting and $665.12 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 14020 most?

Dermatology, with 5,130 services from 128 clinicians. Next are Plastic and Reconstructive Surgery, Micrographic Dermatologic Surgery, Ambulatory Surgical Center.

CPT 14020

Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less

$695.44Medicare-allowed amount per service, averaged across 10,593 services

Providers submitted

$1725.21

Asking price, not received

Medicare allowed

$695.44

The fee schedule figure

Medicare paid

$547.11

Balance is patient coinsurance

Providers submitted an average of $1725.21 for this code and Medicare allowed $695.44 — 2.5× 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 $547.11 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $702.19
Hospital / facility: $665.12

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 8,663 services were billed in an office setting and 1,930 in a facility.

Services: 10,593
Beneficiaries: 9,176
Providers billing it: 255
Total allowed: $7,366,796

What Medicare pays for CPT 14020

Across 10,593 services billed by 255 providers to 9,176 beneficiaries, Medicare allowed an average of $695.44 per service. That is 1.2 services per beneficiary, so this is a code patients typically receive more than once. 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 14020

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	5,130	4,402	$685.54	128
Plastic and Reconstructive Surgery	2,852	2,478	$675.31	53
Micrographic Dermatologic Surgery	951	857	$694.90	12
Ambulatory Surgical Center	932	786	$889.78	33
Physician Assistant	207	184	$576.61	6
Otolaryngology	182	165	$646.63	7
General Surgery	98	85	$685.72	5
Neurosurgery	54	53	$485.82	3
Ophthalmology	53	43	$736.26	1
Orthopedic Surgery	51	42	$341.41	2
Family Practice	26	26	$652.21	1
Surgical Oncology	24	24	$671.40	2
Hand Surgery	19	18	$249.67	1
Nurse Practitioner	14	13	$650.25	1

14020 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
California	2,362	$713.08	$502.49	51
Florida	1,563	$681.04	$518.73	45
New York	1,335	$781.67	$526.83	25
Pennsylvania	1,048	$663.86	$533.41	13
New Jersey	1,008	$760.03	$544.64	17
Texas	561	$616.47	$500.00	10
Maryland	393	$674.38	$499.53	13
Arizona	322	$663.06	$511.04	9
Delaware	228	$643.65	$517.94	5
Montana	224	$656.96	$518.99	1
Washington	169	$691.05	$520.19	8
Georgia	169	$639.59	$526.12	8
Indiana	154	$619.97	$498.74	5
South Carolina	137	$554.54	$408.72	6
Massachusetts	123	$751.81	$571.54	3
Illinois	112	$715.89	$538.73	3
Ohio	96	$601.55	$476.08	5
Mississippi	74	$605.78	$531.90	3
Virginia	68	$603.73	$360.85	3
Missouri	66	$732.35	$647.35	2
Tennessee	54	$553.65	$472.02	2
North Carolina	46	$651.82	$528.75	2
Alabama	46	$530.73	$450.58	3
Oregon	39	$652.66	$534.27	2
Guam	33	$649.48	$534.28	1
Colorado	29	$679.54	$518.79	1
New Mexico	24	$673.27	$586.13	2
Michigan	21	$662.31	$553.01	1
Arkansas	19	$249.67	$221.46	1
Kentucky	18	$631.64	$549.15	1
ZZ	17	$729.69	$515.82	1
Rhode Island	12	$689.91	$549.37	1
Nevada	12	$624.78	$518.37	1
Connecticut	11	$744.56	$525.82	1

Related codes

14060Repair of wound of eyelids$715.65
14040Repair of wound of forehead$725.58
14041Repair of wound of forehead$874.01
14061Repair of wound of eyelids$911.44
14021Repair of wound of scalp$829.45
14001Repair of wound of trunk by transferring skin$607.15
14000Repair of wound of trunk by transferring skin$535.72

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.