How much does Medicare pay for CPT 37225?

Medicare allowed an average of $5516.77 per service and paid $4397.01 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $21,790, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 37225?

Removal of plaque in arteries of leg. It was billed 25,720 times to 19,231 Medicare beneficiaries by 706 providers in 2024.

Does 37225 pay differently in an office than a hospital?

Yes. The allowed amount averaged $5912.13 in an office setting and $4255.17 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 37225 most?

Vascular Surgery, with 8,779 services from 284 clinicians. Next are Cardiology, Interventional Radiology, Interventional Cardiology.

CPT 37225

Removal of plaque in arteries of leg

$5516.77Medicare-allowed amount per service, averaged across 25,720 services

Providers submitted

$21,790

Asking price, not received

Medicare allowed

$5516.77

The fee schedule figure

Medicare paid

$4397.01

Balance is patient coinsurance

Providers submitted an average of $21,790 for this code and Medicare allowed $5516.77 — 3.9× 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 $4397.01 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $5912.13
Hospital / facility: $4255.17

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. 19,583 services were billed in an office setting and 6,137 in a facility.

Services: 25,720
Beneficiaries: 19,231
Providers billing it: 706
Total allowed: $141,891,324

What Medicare pays for CPT 37225

Across 25,720 services billed by 706 providers to 19,231 beneficiaries, Medicare allowed an average of $5516.77 per service. That is 1.3 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 37225

Specialty	Services	Beneficiaries	Avg allowed	Providers
Vascular Surgery	8,779	6,843	$5299.02	284
Cardiology	4,049	2,965	$5108.21	118
Interventional Radiology	3,651	2,494	$4978.59	58
Interventional Cardiology	2,619	1,971	$4471.48	91
Diagnostic Radiology	2,137	1,581	$4414.70	38
Ambulatory Surgical Center	1,995	1,511	$12,172	43
General Surgery	784	648	$4121.94	32
Thoracic Surgery	484	355	$5779.94	8
Internal Medicine	353	278	$5111.26	13
Peripheral Vascular Disease	214	154	$4981.75	6
Nephrology	211	96	$4633.50	2
Physician Assistant	190	150	$990.54	4
Cardiac Surgery	126	91	$3958.94	4
General Practice	63	42	$5175.35	2
Nurse Practitioner	36	32	$663.62	2

37225 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	6,488	$5979.02	$4039.66	111
Florida	2,978	$5306.89	$4260.00	86
Texas	2,070	$5081.30	$4172.30	62
New York	1,987	$5670.40	$3895.06	44
Maryland	1,507	$6886.43	$4943.55	33
New Jersey	1,161	$5961.08	$4141.44	30
Arizona	934	$5957.49	$4865.56	34
Michigan	737	$6027.06	$4918.18	26
Tennessee	629	$5104.04	$4546.80	26
Mississippi	616	$3833.48	$3578.76	25
Illinois	569	$3982.70	$3313.41	21
North Carolina	550	$4425.25	$3874.03	16
Arkansas	496	$3971.90	$3550.85	12
Virginia	431	$6039.76	$4733.85	17
Louisiana	400	$5014.36	$4494.99	14
District of Columbia	368	$5602.94	$3813.02	6
Massachusetts	340	$5818.99	$4418.87	15
Oklahoma	304	$3457.25	$2998.45	9
Alabama	294	$5673.35	$5177.13	13
Georgia	260	$5143.45	$4495.16	12
Pennsylvania	241	$5123.04	$4297.51	9
Nebraska	234	$4669.70	$3859.36	5
South Dakota	233	$5531.85	$4467.39	8
Nevada	228	$5184.11	$3934.70	7
Connecticut	200	$6807.14	$4833.10	10
Kansas	200	$4676.63	$4100.93	8
Indiana	182	$2922.56	$2550.60	6
Kentucky	137	$5563.26	$4982.94	6
South Carolina	117	$5837.69	$5072.91	5
Utah	114	$5033.71	$4088.12	3
Washington	111	$7486.68	$5476.18	1
Guam	107	$8213.72	$5799.87	2
Missouri	92	$2994.47	$2488.07	5
New Mexico	76	$390.39	$301.40	3
Colorado	64	$4058.36	$3080.82	2
Iowa	53	$4507.61	$3928.09	3
Idaho	49	$2055.27	$1743.38	2
Rhode Island	35	$8163.38	$6395.82	2
Oregon	34	$6958.69	$5593.75	2
Hawaii	27	$6010.33	$4520.06	1
Ohio	23	$6177.99	$5360.84	1
Minnesota	19	$495.94	$407.53	1
Alaska	13	$5313.36	$3864.92	1
Delaware	12	$7681.93	$6106.14	1

Related codes

37253Ultrasound evaluation of blood vessel$158.74
37252Ultrasound evaluation of blood vessel$758.72
37229Removal of plaque in artery of leg$7260.85
37243Occlusion of growths or obstructed vessels$4293.10
37227Removal of plaque and insertion of stents in arteries of leg$9119.72
37228Balloon dilation of artery of leg$1158.26
37224Balloon dilation of artery of leg$562.15
37242Occlusion of artery$4565.89
37215Insertion of stent and blood clot protection device in neck artery$885.92
37248Balloon dilation of vein$1242.61
37238Insertion of stent in vein$2975.98
37233Removal of plaque in artery of leg$1004.57

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.