How much does Medicare pay for CPT 64455?

Medicare allowed an average of $48.08 per service and paid $35.33 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $174.86, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 64455?

Injection of anesthetic and/or steroid drug into foot nerve. It was billed 26,913 times to 16,713 Medicare beneficiaries by 816 providers in 2024.

Does 64455 pay differently in an office than a hospital?

Yes. The allowed amount averaged $48.49 in an office setting and $27.86 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 64455 most?

Podiatry, with 25,541 services from 753 clinicians. Next are Orthopedic Surgery, Ambulatory Surgical Center, Nurse Practitioner.

CPT 64455

Injection of anesthetic and/or steroid drug into foot nerve

$48.08Medicare-allowed amount per service, averaged across 26,913 services

Providers submitted

$174.86

Asking price, not received

Medicare allowed

$48.08

The fee schedule figure

Medicare paid

$35.33

Balance is patient coinsurance

Providers submitted an average of $174.86 for this code and Medicare allowed $48.08 — 3.6× 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 $35.33 (73%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $48.49
Hospital / facility: $27.86

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. 26,386 services were billed in an office setting and 527 in a facility.

Services: 26,913
Beneficiaries: 16,713
Providers billing it: 816
Total allowed: $1,293,977

What Medicare pays for CPT 64455

Across 26,913 services billed by 816 providers to 16,713 beneficiaries, Medicare allowed an average of $48.08 per service. That is 1.6 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 64455

Specialty	Services	Beneficiaries	Avg allowed	Providers
Podiatry	25,541	15,621	$48.34	753
Orthopedic Surgery	975	831	$47.19	50
Ambulatory Surgical Center	87	56	$11.27	1
Nurse Practitioner	74	50	$37.52	3
Internal Medicine	64	30	$53.79	1
Interventional Pain Management	55	30	$35.03	2
Physician Assistant	50	40	$36.94	3
Diagnostic Radiology	46	41	$33.61	2
Sports Medicine	21	14	$46.05	1

64455 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	3,469	$50.17	$35.60	92
Florida	2,716	$47.39	$33.99	85
New York	1,953	$48.98	$34.72	32
Texas	1,736	$44.18	$33.49	61
Arizona	1,226	$45.45	$34.27	37
Georgia	1,062	$54.74	$39.84	31
South Carolina	1,060	$46.97	$36.16	27
North Carolina	759	$46.07	$35.67	28
Virginia	702	$48.65	$36.38	23
Pennsylvania	697	$48.37	$35.52	26
Missouri	686	$45.47	$35.38	20
New Jersey	675	$53.63	$36.71	22
Michigan	657	$48.66	$35.55	21
Ohio	621	$49.93	$38.24	19
Oklahoma	588	$42.30	$33.06	14
New Mexico	559	$44.86	$34.25	10
Tennessee	544	$48.62	$36.93	14
Massachusetts	518	$52.14	$36.67	21
Maryland	466	$52.04	$37.59	16
Oregon	460	$49.38	$36.46	13
Arkansas	457	$43.41	$37.03	11
Louisiana	446	$48.40	$36.10	13
Illinois	413	$52.57	$36.92	18
Colorado	377	$50.55	$37.24	19
Kentucky	334	$47.50	$36.36	11
Mississippi	323	$43.54	$35.39	9
Utah	291	$46.40	$35.50	9
Indiana	282	$48.96	$37.76	14
Wisconsin	273	$39.59	$32.17	10
Idaho	273	$44.65	$35.28	9
Delaware	271	$49.20	$37.97	6
Nevada	257	$48.74	$36.40	8
Kansas	236	$46.52	$36.51	10
Alabama	213	$44.22	$34.83	9
Washington	204	$46.09	$32.53	8
Montana	172	$50.40	$38.03	5
Wyoming	150	$55.14	$39.13	2
Iowa	146	$45.52	$33.21	6
West Virginia	141	$38.35	$28.07	3
Nebraska	108	$48.06	$36.78	3
Connecticut	75	$55.23	$33.79	4
New Hampshire	71	$45.72	$32.53	4
Minnesota	61	$50.58	$37.61	2
North Dakota	49	$35.86	$27.24	3
Rhode Island	48	$52.40	$39.40	3
Vermont	32	$52.31	$34.18	1
District of Columbia	18	$56.63	$37.98	1
Alaska	13	$61.68	$37.52	1
Hawaii	13	$49.76	$37.49	1
U.S. Virgin Islands	12	$47.07	$25.99	1

Related codes

64483Injection of anesthetic and/or steroid drug into sacral spine nerve ro$263.09
64493Injection of lower or sacral spine facet joint$243.14
64494Injection of lower or sacral spine facet joint$96.60
64450Injection of anesthetic agent and/or steroid into other nerve or branc$44.99
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral$58.78
64484Injection of anesthetic and/or steroid drug into sacral spine nerve ro$84.15
64490Injection of upper or middle spine facet joint$259.70
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (br$67.89
64491Injection of upper or middle spine facet joint$100.48
64445Injection of anesthetic agent and/or steroid into lower back and leg n$173.06
64405Injection of anesthetic agent and/or steroid into upper neck and back$71.75
64479Injection of anesthetic and/or steroid drug into upper or middle spine$275.58

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.