How much does Medicare pay for CPT 75630?

Medicare allowed an average of $115.99 per service and paid $92.37 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $418.83, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 75630?

Review by radiologist of abdominal aorta and both leg arteries image. It was billed 5,999 times to 5,163 Medicare beneficiaries by 211 providers in 2024.

Does 75630 pay differently in an office than a hospital?

Yes. The allowed amount averaged $152.21 in an office setting and $92.92 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 75630 most?

Vascular Surgery, with 2,587 services from 85 clinicians. Next are Cardiology, Interventional Cardiology, Interventional Radiology.

CPT 75630

Review by radiologist of abdominal aorta and both leg arteries image

$115.99Medicare-allowed amount per service, averaged across 5,999 services

Providers submitted

$418.83

Asking price, not received

Medicare allowed

$115.99

The fee schedule figure

Medicare paid

$92.37

Balance is patient coinsurance

Providers submitted an average of $418.83 for this code and Medicare allowed $115.99 — 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 $92.37 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $152.21
Hospital / facility: $92.92

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. 2,334 services were billed in an office setting and 3,665 in a facility.

Services: 5,999
Beneficiaries: 5,163
Providers billing it: 211
Total allowed: $695,824

What Medicare pays for CPT 75630

Across 5,999 services billed by 211 providers to 5,163 beneficiaries, Medicare allowed an average of $115.99 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 75630

Specialty	Services	Beneficiaries	Avg allowed	Providers
Vascular Surgery	2,587	2,218	$114.70	85
Cardiology	1,833	1,548	$111.22	69
Interventional Cardiology	835	736	$119.96	30
Interventional Radiology	239	211	$150.56	5
General Surgery	203	184	$114.24	8
Diagnostic Radiology	82	67	$153.04	4
Internal Medicine	81	70	$126.02	3
Thoracic Surgery	52	49	$90.27	3
General Practice	38	36	$101.86	1
Cardiac Surgery	25	22	$93.94	1
Peripheral Vascular Disease	12	11	$94.26	1
Hospitalist	12	11	$90.85	1

75630 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	1,370	$131.12	$91.92	38
New York	737	$110.74	$72.55	20
New Jersey	540	$112.70	$77.91	7
Texas	444	$105.06	$78.97	23
Florida	431	$133.31	$95.66	13
Michigan	283	$145.55	$102.94	8
Tennessee	228	$111.44	$90.71	8
Arizona	144	$102.31	$77.17	6
Ohio	125	$91.09	$66.10	8
Virginia	104	$110.10	$80.46	5
Illinois	103	$100.58	$73.98	4
North Carolina	102	$88.85	$66.79	5
Nevada	102	$128.96	$100.47	4
Kentucky	93	$94.30	$71.85	3
Pennsylvania	86	$104.75	$77.96	4
Louisiana	85	$87.21	$63.71	4
Georgia	78	$118.28	$90.81	5
Iowa	73	$85.06	$67.11	2
Massachusetts	72	$140.79	$96.96	2
Alabama	71	$95.33	$74.82	4
Washington	65	$91.34	$66.87	3
Colorado	65	$102.40	$66.73	2
Maryland	49	$154.83	$99.78	2
Indiana	48	$88.68	$65.60	4
Hawaii	47	$85.55	$67.01	2
Oregon	45	$91.19	$66.71	2
South Carolina	42	$148.03	$116.93	2
Connecticut	42	$132.38	$94.40	2
Missouri	40	$88.57	$67.02	3
New Mexico	36	$90.01	$67.07	1
Arkansas	35	$88.81	$67.93	2
Wyoming	34	$99.24	$66.81	2
Mississippi	33	$86.20	$66.90	2
Oklahoma	32	$114.77	$92.11	2
Kansas	30	$113.35	$96.10	2
District of Columbia	25	$98.30	$66.76	1
Montana	22	$89.98	$66.53	1
Delaware	16	$90.13	$66.80	1
Rhode Island	11	$91.30	$66.77	1
West Virginia	11	$86.19	$66.97	1

Related codes

75635Ct scan of abdominal aorta and both leg arteries$132.47
75625Review by radiologist of abdominal aorta image$87.85

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.