How much does Medicare pay for CPT 64615?

Medicare allowed an average of $139.05 per service and paid $105.35 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $495.68, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 64615?

Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face. It was billed 136,769 times to 54,208 Medicare beneficiaries by 1,948 providers in 2024.

Does 64615 pay differently in an office than a hospital?

Yes. The allowed amount averaged $143.16 in an office setting and $111.50 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 64615 most?

Neurology, with 84,740 services from 1,248 clinicians. Next are Nurse Practitioner, Family Practice, Physician Assistant.

CPT 64615

Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face

$139.05Medicare-allowed amount per service, averaged across 136,769 services

Providers submitted

$495.68

Asking price, not received

Medicare allowed

$139.05

The fee schedule figure

Medicare paid

$105.35

Balance is patient coinsurance

Providers submitted an average of $495.68 for this code and Medicare allowed $139.05 — 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 $105.35 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $143.16
Hospital / facility: $111.50

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. 118,992 services were billed in an office setting and 17,777 in a facility.

Services: 136,769
Beneficiaries: 54,208
Providers billing it: 1,948
Total allowed: $19,017,729

What Medicare pays for CPT 64615

Across 136,769 services billed by 1,948 providers to 54,208 beneficiaries, Medicare allowed an average of $139.05 per service. That is 2.5 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 64615

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	84,740	33,151	$144.97	1,248
Nurse Practitioner	21,515	9,979	$116.77	329
Family Practice	10,076	2,090	$149.61	14
Physician Assistant	9,221	4,326	$119.89	153
Physical Medicine and Rehabilitation	2,449	990	$141.93	49
Pain Management	1,753	752	$145.79	35
Internal Medicine	1,096	419	$146.16	16
Anesthesiology	1,083	537	$137.66	22
Interventional Pain Management	995	392	$158.32	22
Neuropsychiatry	735	260	$137.58	8
Ophthalmology	689	258	$147.69	12
General Practice	445	272	$150.63	6
Oral Surgery (Dentist only)	368	147	$147.28	5
Psychiatry	271	118	$117.25	3
Sleep Medicine	246	82	$145.96	3

64615 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	33,308	$147.27	$111.38	245
New York	9,627	$167.63	$110.37	150
Florida	9,274	$155.45	$111.30	148
Texas	5,913	$137.88	$107.87	88
Pennsylvania	4,749	$129.57	$99.47	78
Arizona	4,369	$118.49	$97.04	56
Massachusetts	4,193	$141.34	$104.29	66
Colorado	3,789	$138.93	$107.03	53
Minnesota	3,291	$131.04	$109.43	49
Ohio	3,033	$119.47	$96.63	56
Washington	2,900	$128.71	$98.06	47
Illinois	2,875	$152.12	$107.07	51
New Jersey	2,844	$158.27	$112.85	53
Missouri	2,825	$129.27	$101.78	47
Virginia	2,784	$126.36	$98.23	51
Georgia	2,692	$137.98	$109.12	51
North Carolina	2,538	$124.92	$104.91	40
Wisconsin	2,449	$109.39	$94.24	49
South Carolina	2,430	$136.54	$114.12	34
Tennessee	2,185	$121.63	$105.02	43
Oregon	1,976	$132.94	$107.31	34
Michigan	1,905	$134.16	$99.84	39
Maryland	1,876	$150.22	$109.62	30
Oklahoma	1,717	$134.25	$110.82	19
Kansas	1,677	$118.65	$101.19	25
Louisiana	1,466	$125.33	$102.69	28
Alabama	1,364	$125.97	$113.74	19
Indiana	1,314	$126.41	$111.64	32
Mississippi	1,295	$120.67	$100.69	21
Utah	1,288	$126.26	$101.48	21
Kentucky	1,262	$122.98	$99.14	20
New Mexico	1,095	$133.74	$102.10	15
Connecticut	1,026	$150.08	$107.27	24
Nevada	1,000	$131.58	$103.76	20
New Hampshire	958	$114.06	$86.34	16
North Dakota	890	$111.09	$91.35	9
Nebraska	849	$120.25	$107.81	15
South Dakota	770	$117.21	$96.33	11
Montana	712	$118.37	$92.83	15
Arkansas	675	$118.50	$109.50	14
Iowa	637	$106.21	$89.96	14
Idaho	614	$99.56	$83.43	9
Delaware	494	$123.20	$97.28	10
District of Columbia	485	$175.12	$115.71	6
West Virginia	394	$115.75	$85.40	6
Maine	364	$118.67	$92.70	8
Hawaii	257	$139.73	$110.62	7
Vermont	193	$109.36	$91.48	2
Rhode Island	109	$147.13	$119.95	3
Wyoming	39	$144.43	$114.51	1

Related codes

64635Destruction of lower or sacral spinal facet joint nerves$498.61
64636Destruction of lower or sacral spinal facet joint nerves$170.99
64633Destruction of upper or middle spinal facet joint nerves$505.48
64640Destruction of peripheral nerve or branch$128.51
64616Injection of chemical for paralysis of nerve muscles on side of neck e$175.81
64634Destruction of upper or middle spinal facet joint nerves$174.09
64612Injection of chemical for paralysis of nerve muscles on side of face$170.37
64642Injection of chemical for paralysis of nerve muscles on arm or leg$120.67
64643Injection of chemical for paralysis of nerve muscles on arm or leg$81.52
64644Injection of chemical for paralysis of nerve muscles on arm or leg$147.30
64624Destruction of nerve branches of knee$425.22
64617Injection of chemical for paralysis of nerve muscles on side of voice$193.92

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.