How much does Medicare pay for CPT 64624?

Medicare allowed an average of $425.22 per service and paid $333.95 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2517.45, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 64624?

Destruction of nerve branches of knee using imaging guidance. It was billed 14,027 times to 11,561 Medicare beneficiaries by 552 providers in 2024.

Does 64624 pay differently in an office than a hospital?

Yes. The allowed amount averaged $360.50 in an office setting and $454.77 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 64624 most?

Ambulatory Surgical Center, with 4,202 services from 155 clinicians. Next are Pain Management, Anesthesiology, Physical Medicine and Rehabilitation.

CPT 64624

Destruction of nerve branches of knee using imaging guidance

$425.22Medicare-allowed amount per service, averaged across 14,027 services

Providers submitted

$2517.45

Asking price, not received

Medicare allowed

$425.22

The fee schedule figure

Medicare paid

$333.95

Balance is patient coinsurance

Providers submitted an average of $2517.45 for this code and Medicare allowed $425.22 — 5.9× 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 $333.95 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $360.50
Hospital / facility: $454.77

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 4,398 services were billed in an office setting and 9,629 in a facility.

Services: 14,027
Beneficiaries: 11,561
Providers billing it: 552
Total allowed: $5,964,561

What Medicare pays for CPT 64624

Across 14,027 services billed by 552 providers to 11,561 beneficiaries, Medicare allowed an average of $425.22 per service. That is 1.2 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 64624

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulatory Surgical Center	4,202	3,270	$850.18	155
Pain Management	2,549	2,086	$256.06	111
Anesthesiology	2,102	1,785	$208.47	92
Physical Medicine and Rehabilitation	1,668	1,345	$250.10	77
Interventional Pain Management	1,073	854	$262.80	44
Orthopedic Surgery	791	735	$290.96	15
Sports Medicine	544	471	$198.75	15
Certified Registered Nurse Anesthetist (CRNA)	320	287	$191.13	14
Physician Assistant	297	290	$238.73	8
Family Practice	240	215	$347.14	7
Nurse Practitioner	72	69	$219.63	4
Interventional Radiology	54	49	$206.63	4
Diagnostic Radiology	44	41	$141.32	3
Internal Medicine	40	38	$142.36	1
Neurology	16	13	$442.65	1

64624 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
Texas	1,598	$444.48	$362.78	56
California	1,241	$547.33	$366.02	51
Florida	1,203	$423.12	$346.11	35
Illinois	892	$371.29	$294.79	33
New York	664	$448.42	$313.18	26
Maryland	500	$542.81	$432.95	20
Oklahoma	499	$202.53	$170.05	18
Georgia	496	$495.67	$396.89	24
Wisconsin	478	$332.06	$263.25	21
Mississippi	461	$444.11	$402.02	15
Louisiana	403	$355.44	$309.99	12
Connecticut	350	$636.86	$481.79	6
Virginia	330	$321.83	$240.53	16
North Carolina	326	$286.71	$236.59	16
South Carolina	321	$406.66	$342.16	11
Minnesota	319	$501.24	$385.44	13
Arizona	318	$476.05	$386.19	14
Oregon	291	$593.72	$444.25	13
Missouri	280	$276.56	$220.41	13
Ohio	275	$265.42	$221.84	15
Tennessee	270	$443.85	$373.64	11
New Jersey	247	$554.21	$402.47	12
Pennsylvania	206	$443.28	$356.40	10
Kansas	203	$261.22	$221.22	6
Kentucky	181	$454.14	$380.14	9
Arkansas	180	$438.11	$382.55	9
Nebraska	151	$380.64	$310.13	5
Colorado	147	$393.23	$300.81	7
Nevada	142	$626.95	$437.62	7
Utah	121	$351.46	$283.22	5
Rhode Island	116	$270.66	$210.12	2
Maine	101	$157.01	$109.76	3
Indiana	94	$587.26	$483.02	6
New Mexico	87	$491.43	$410.05	3
Delaware	77	$291.03	$231.64	2
Massachusetts	74	$202.83	$153.71	4
Washington	61	$406.60	$308.57	4
Alabama	52	$189.33	$164.79	3
District of Columbia	42	$162.49	$113.45	3
Wyoming	40	$486.75	$408.67	2
North Dakota	36	$456.90	$389.13	2
New Hampshire	31	$562.53	$437.94	2
Michigan	29	$529.89	$437.18	2
West Virginia	26	$144.50	$113.64	1
Alaska	18	$448.13	$294.18	1
Idaho	18	$133.36	$112.98	1
South Dakota	17	$376.96	$280.99	1
Iowa	15	$133.48	$106.68	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
64615Injection of chemical for paralysis of facial and neck nerve muscles o$139.05
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
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.