How much does Medicare pay for CPT 62323?

Medicare allowed an average of $200.33 per service and paid $153.47 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1344.78, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 62323?

Injection of substance into lower spine canal using imaging guidance. It was billed 611,382 times to 454,655 Medicare beneficiaries by 7,346 providers in 2024.

Does 62323 pay differently in an office than a hospital?

Yes. The allowed amount averaged $234.82 in an office setting and $176.56 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 62323 most?

Anesthesiology, with 144,016 services from 1,628 clinicians. Next are Pain Management, Ambulatory Surgical Center, Physical Medicine and Rehabilitation.

CPT 62323

Injection of substance into lower spine canal using imaging guidance

$200.33Medicare-allowed amount per service, averaged across 611,382 services

Providers submitted

$1344.78

Asking price, not received

Medicare allowed

$200.33

The fee schedule figure

Medicare paid

$153.47

Balance is patient coinsurance

Providers submitted an average of $1344.78 for this code and Medicare allowed $200.33 — 6.7× 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 $153.47 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $234.82
Hospital / facility: $176.56

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. 249,385 services were billed in an office setting and 361,997 in a facility.

Services: 611,382
Beneficiaries: 454,655
Providers billing it: 7,346
Total allowed: $122,478,156

What Medicare pays for CPT 62323

Across 611,382 services billed by 7,346 providers to 454,655 beneficiaries, Medicare allowed an average of $200.33 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 62323

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	144,016	104,516	$154.86	1,628
Pain Management	142,919	105,567	$163.18	1,649
Ambulatory Surgical Center	117,073	89,032	$346.83	1,192
Physical Medicine and Rehabilitation	89,794	69,040	$171.88	1,264
Interventional Pain Management	72,122	52,491	$177.92	816
Diagnostic Radiology	14,065	11,395	$160.58	300
Orthopedic Surgery	11,641	8,372	$191.41	149
Neurosurgery	3,905	2,559	$177.86	50
Neurology	3,239	2,364	$206.25	56
Certified Registered Nurse Anesthetist (CRNA)	3,192	2,349	$147.26	67
Interventional Radiology	1,842	1,430	$154.90	38
Internal Medicine	1,582	1,072	$224.03	24
Family Practice	1,499	1,057	$197.13	27
Physician Assistant	1,127	827	$186.54	23
Emergency Medicine	1,040	781	$128.79	18

62323 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	47,644	$226.84	$178.94	562
California	44,672	$240.14	$163.62	605
Texas	36,953	$204.06	$163.21	563
Pennsylvania	35,795	$187.73	$145.97	353
New York	32,982	$237.58	$165.09	382
Illinois	27,546	$203.04	$153.77	277
South Carolina	21,502	$208.28	$170.69	128
Massachusetts	20,037	$161.74	$116.33	200
Ohio	19,997	$157.18	$127.55	272
Maryland	18,946	$226.79	$176.65	182
Georgia	16,219	$205.52	$166.39	293
Alabama	15,832	$171.64	$151.79	137
Michigan	15,740	$199.09	$156.75	205
New Jersey	14,572	$237.15	$169.72	251
North Carolina	14,307	$189.86	$152.74	194
Missouri	14,228	$146.89	$118.95	138
Indiana	13,869	$195.32	$159.47	189
Kentucky	13,708	$177.17	$147.36	110
Virginia	13,664	$210.19	$159.56	157
Kansas	13,131	$150.25	$124.29	110
Tennessee	13,020	$213.10	$181.38	148
Arizona	11,947	$215.45	$169.81	167
Oklahoma	10,409	$172.02	$143.39	92
Mississippi	9,597	$177.06	$154.80	67
Arkansas	9,513	$171.27	$145.59	89
Wisconsin	9,330	$166.17	$133.73	155
Utah	8,894	$224.55	$177.55	87
Washington	8,215	$202.52	$149.31	129
Louisiana	8,133	$165.35	$138.63	128
Minnesota	6,879	$183.66	$141.96	148
Colorado	6,701	$203.32	$154.87	109
Iowa	6,295	$154.53	$126.07	67
Connecticut	5,417	$238.50	$170.16	84
New Hampshire	4,813	$199.59	$152.34	47
Nebraska	4,379	$184.29	$152.81	56
Delaware	4,291	$236.22	$184.89	36
Nevada	4,273	$234.15	$179.93	70
North Dakota	4,227	$154.30	$123.11	25
Oregon	2,965	$233.65	$173.22	55
South Dakota	2,834	$114.00	$90.15	31
Montana	2,775	$178.88	$138.80	34
Idaho	2,752	$164.44	$133.64	42
New Mexico	2,491	$195.54	$158.71	36
West Virginia	2,086	$142.65	$115.07	29
Rhode Island	1,933	$189.43	$142.48	16
Vermont	1,484	$155.57	$118.19	12
Maine	1,396	$179.01	$136.11	19
Alaska	1,263	$270.37	$175.62	22
Wyoming	627	$219.90	$173.31	17
District of Columbia	589	$210.40	$144.97	9
Hawaii	422	$225.16	$167.61	7
Guam	64	$249.73	$182.41	4
Puerto Rico	24	$255.26	$200.88	1

Related codes

62321Injection of substance into middle or upper spine canal$215.08
62370Electronic analysis reprogramming and refill of spinal canal drug infu$76.65
62328Removal of spinal fluid$81.96
62369Electronic analysis reprogramming and refill of spinal canal drug infu$78.93
62368Electronic analysis and reprogramming of spinal canal drug infusion pu$39.38
62322Injection of substance into lower spine canal$84.43
62367Electronic analysis of spinal canal drug infusion pump$28.62
62362Insertion of programmable spinal canal drug infusion pump$4222.97
62324Insertion of tube and injection of substance into middle or upper spin$90.95
62304X-ray of lower spinal canal$156.91
62350Insertion, revision, or repositioning of spinal canal tube for medicat$922.79

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.