How much does Medicare pay for CPT 75635?

Medicare allowed an average of $132.47 per service and paid $101.72 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $758.57, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 75635?

Ct scan of abdominal aorta and both leg arteries with contrast. It was billed 56,136 times to 55,126 Medicare beneficiaries by 2,545 providers in 2024.

Does 75635 pay differently in an office than a hospital?

Yes. The allowed amount averaged $222.40 in an office setting and $108.35 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 75635 most?

Diagnostic Radiology, with 41,230 services from 1,956 clinicians. Next are Interventional Radiology, Cardiology, Independent Diagnostic Testing Facility (IDTF).

CPT 75635

Ct scan of abdominal aorta and both leg arteries with contrast

$132.47Medicare-allowed amount per service, averaged across 56,136 services

Providers submitted

$758.57

Asking price, not received

Medicare allowed

$132.47

The fee schedule figure

Medicare paid

$101.72

Balance is patient coinsurance

Providers submitted an average of $758.57 for this code and Medicare allowed $132.47 — 5.7× 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 $101.72 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $222.40
Hospital / facility: $108.35

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. 11,868 services were billed in an office setting and 44,268 in a facility.

Services: 56,136
Beneficiaries: 55,126
Providers billing it: 2,545
Total allowed: $7,436,336

What Medicare pays for CPT 75635

Across 56,136 services billed by 2,545 providers to 55,126 beneficiaries, Medicare allowed an average of $132.47 per service. 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 75635

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	41,230	40,562	$125.69	1,956
Interventional Radiology	9,916	9,687	$129.93	400
Cardiology	2,110	2,078	$174.61	71
Independent Diagnostic Testing Facility (IDTF)	1,116	1,061	$228.72	46
Interventional Cardiology	993	977	$210.98	36
Internal Medicine	227	223	$220.11	9
Vascular Surgery	189	186	$122.15	7
Advanced Heart Failure and Transplant Cardiology	75	75	$247.39	2
Nuclear Medicine	65	64	$165.84	4
Peripheral Vascular Disease	37	37	$103.94	2
Nurse Practitioner	30	30	$162.87	2
Family Practice	26	26	$187.90	2
Emergency Medicine	23	22	$104.55	2
Urology	23	23	$169.26	1
General Surgery	19	18	$107.71	1

75635 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
Florida	4,902	$166.23	$126.41	194
Texas	4,585	$137.62	$105.43	212
Illinois	3,108	$147.12	$108.23	145
California	2,804	$146.01	$103.93	158
Tennessee	2,340	$123.46	$97.45	76
Ohio	2,301	$110.74	$83.04	96
Minnesota	2,043	$140.23	$105.05	103
Arkansas	1,948	$103.38	$81.40	67
New York	1,920	$163.17	$110.37	86
North Carolina	1,872	$118.89	$90.64	83
Missouri	1,793	$107.24	$82.09	96
Indiana	1,787	$104.87	$81.25	77
Pennsylvania	1,637	$120.12	$89.10	78
Mississippi	1,621	$117.63	$96.82	49
Michigan	1,567	$114.43	$85.75	82
Massachusetts	1,477	$120.12	$86.18	55
South Carolina	1,398	$119.82	$94.34	54
Virginia	1,246	$136.45	$102.97	61
Arizona	1,178	$167.14	$129.03	47
New Jersey	1,085	$167.48	$119.14	46
Wisconsin	1,049	$107.00	$80.63	50
Oklahoma	1,030	$115.51	$89.15	52
Louisiana	963	$126.84	$99.98	45
Alabama	906	$126.32	$99.74	51
Kentucky	876	$124.92	$96.89	47
Georgia	874	$127.91	$97.10	50
Colorado	856	$123.86	$88.37	45
Nevada	803	$157.12	$125.11	27
Iowa	658	$112.16	$86.24	27
Maryland	616	$167.04	$118.73	29
Washington	604	$122.30	$89.67	33
West Virginia	472	$108.57	$80.59	21
Nebraska	418	$110.11	$89.14	23
Kansas	363	$136.07	$106.44	19
Connecticut	299	$112.82	$80.34	18
New Hampshire	280	$117.82	$86.10	15
Delaware	252	$121.91	$89.18	10
Montana	211	$108.35	$80.77	14
North Dakota	200	$106.67	$80.20	10
Guam	197	$305.87	$210.21	4
Oregon	195	$109.84	$81.25	13
Idaho	190	$111.87	$85.34	11
Rhode Island	181	$110.61	$84.03	12
New Mexico	165	$139.22	$102.19	6
District of Columbia	154	$113.10	$80.12	7
Utah	128	$130.35	$101.17	8
Alaska	123	$160.69	$102.24	6
Wyoming	119	$145.16	$110.51	7
Maine	94	$105.53	$76.82	6
Vermont	94	$106.36	$78.12	6
South Dakota	91	$109.63	$81.71	5
Puerto Rico	34	$176.73	$139.59	1
AA	18	$108.66	$84.33	1
Hawaii	11	$111.63	$84.43	1

Related codes

75625Review by radiologist of abdominal aorta image$87.85
75630Review by radiologist of abdominal aorta and both leg arteries image$115.99

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.