How much does Medicare pay for CPT 62370?

Medicare allowed an average of $76.65 per service and paid $57.60 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $441.06, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 62370?

Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician. It was billed 58,855 times to 20,190 Medicare beneficiaries by 767 providers in 2024.

Does 62370 pay differently in an office than a hospital?

Yes. The allowed amount averaged $82.27 in an office setting and $41.13 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 62370 most?

Anesthesiology, with 13,007 services from 138 clinicians. Next are Pain Management, Interventional Pain Management, Nurse Practitioner.

CPT 62370

Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician

$76.65Medicare-allowed amount per service, averaged across 58,855 services

Providers submitted

$441.06

Asking price, not received

Medicare allowed

$76.65

The fee schedule figure

Medicare paid

$57.60

Balance is patient coinsurance

Providers submitted an average of $441.06 for this code and Medicare allowed $76.65 — 5.8× 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 $57.60 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $82.27
Hospital / facility: $41.13

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. 50,813 services were billed in an office setting and 8,042 in a facility.

Services: 58,855
Beneficiaries: 20,190
Providers billing it: 767
Total allowed: $4,511,236

What Medicare pays for CPT 62370

Across 58,855 services billed by 767 providers to 20,190 beneficiaries, Medicare allowed an average of $76.65 per service. That is 2.9 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 62370

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	13,007	4,070	$82.54	138
Pain Management	10,473	3,260	$81.25	127
Interventional Pain Management	9,265	2,689	$84.39	101
Nurse Practitioner	8,839	3,882	$59.86	141
Physical Medicine and Rehabilitation	7,257	2,547	$79.97	122
Physician Assistant	5,978	2,299	$63.11	88
Neurology	1,442	537	$68.89	20
Neurosurgery	504	196	$84.32	7
Family Practice	493	176	$93.86	3
Emergency Medicine	278	46	$88.14	2
Hospice and Palliative Care	265	92	$87.22	1
Diagnostic Radiology	226	61	$89.69	2
Certified Clinical Nurse Specialist	185	98	$52.95	3
Sports Medicine	148	68	$87.60	2
Internal Medicine	105	48	$72.58	3

62370 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	10,072	$92.24	$65.92	79
Texas	6,897	$82.05	$65.17	83
Florida	4,495	$84.58	$64.83	71
Ohio	3,005	$63.96	$51.83	47
Indiana	2,902	$68.42	$56.84	37
Pennsylvania	2,375	$79.06	$60.38	31
Kentucky	1,963	$71.10	$59.05	23
New York	1,929	$90.40	$60.85	23
Tennessee	1,576	$73.80	$61.89	18
Arkansas	1,542	$65.27	$56.60	13
Wisconsin	1,492	$61.01	$46.79	25
Kansas	1,422	$46.99	$39.87	16
Virginia	1,361	$82.99	$64.80	21
Arizona	1,209	$82.45	$65.18	13
Massachusetts	1,184	$56.83	$38.95	16
Louisiana	1,105	$77.39	$64.66	14
Idaho	1,057	$49.55	$40.39	16
Missouri	977	$67.33	$54.77	16
Washington	958	$72.02	$52.02	19
New Jersey	823	$90.30	$65.38	12
Nebraska	790	$69.12	$58.50	15
Maryland	759	$77.51	$58.36	13
Nevada	741	$85.16	$68.26	10
Illinois	733	$59.70	$45.34	15
Oklahoma	627	$79.48	$68.32	9
Colorado	617	$74.27	$56.37	13
Utah	600	$59.31	$48.24	11
Michigan	560	$70.59	$53.21	8
Connecticut	538	$93.40	$68.35	7
South Carolina	469	$82.00	$68.80	7
North Carolina	430	$73.77	$65.40	11
South Dakota	395	$55.83	$44.31	3
Georgia	382	$69.19	$53.01	7
Montana	382	$40.38	$29.91	5
Minnesota	368	$52.07	$38.90	6
Alabama	331	$42.81	$38.01	2
Oregon	325	$84.94	$67.02	3
Alaska	303	$101.27	$61.67	3
North Dakota	246	$54.09	$41.48	5
Iowa	243	$62.90	$50.45	6
District of Columbia	143	$76.16	$51.97	3
New Hampshire	118	$74.59	$55.49	2
Rhode Island	111	$38.22	$29.66	2
Mississippi	93	$57.60	$47.89	3
Wyoming	67	$92.62	$72.03	1
Delaware	51	$83.97	$69.64	1
West Virginia	38	$76.15	$72.87	1
New Mexico	28	$46.76	$35.37	1
Hawaii	23	$97.72	$68.99	1

Related codes

62323Injection of substance into lower spine canal$200.33
62321Injection of substance into middle or upper spine canal$215.08
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.