How much does Medicare pay for CPT 93224?

Medicare allowed an average of $68.24 per service and paid $51.05 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $387.31, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93224?

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional. It was billed 102,410 times to 97,741 Medicare beneficiaries by 2,130 providers in 2024.

Does 93224 pay differently in an office than a hospital?

Yes. The allowed amount averaged $68.24 in an office setting and $64.89 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 93224 most?

Cardiology, with 72,909 services from 1,468 clinicians. Next are Interventional Cardiology, Clinical Cardiac Electrophysiology, Internal Medicine.

CPT 93224

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional

$68.24Medicare-allowed amount per service, averaged across 102,410 services

Providers submitted

$387.31

Asking price, not received

Medicare allowed

$68.24

The fee schedule figure

Medicare paid

$51.05

Balance is patient coinsurance

Providers submitted an average of $387.31 for this code and Medicare allowed $68.24 — 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 $51.05 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $68.24
Hospital / facility: $64.89

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. 102,391 services were billed in an office setting and 19 in a facility.

Services: 102,410
Beneficiaries: 97,741
Providers billing it: 2,130
Total allowed: $6,988,458

What Medicare pays for CPT 93224

Across 102,410 services billed by 2,130 providers to 97,741 beneficiaries, Medicare allowed an average of $68.24 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 93224

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	72,909	69,339	$68.47	1,468
Interventional Cardiology	10,738	10,332	$65.65	280
Clinical Cardiac Electrophysiology	10,073	9,744	$68.21	173
Internal Medicine	6,223	5,908	$69.53	146
Advanced Heart Failure and Transplant Cardiology	688	679	$69.69	11
Independent Diagnostic Testing Facility (IDTF)	550	544	$76.11	8
Family Practice	346	332	$69.74	18
Physician Assistant	184	175	$56.19	5
Cardiac Surgery	175	171	$70.62	5
Undefined Physician type	164	161	$71.73	1
Nurse Practitioner	89	89	$58.07	4
Diagnostic Radiology	76	75	$71.04	2
Thoracic Surgery	53	53	$62.40	2
General Practice	41	40	$62.83	2
Nuclear Medicine	40	39	$76.78	2

93224 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	18,265	$74.02	$52.07	315
Florida	14,013	$65.06	$52.86	300
New York	12,646	$74.86	$53.09	256
New Jersey	6,660	$73.32	$52.77	162
Texas	6,036	$64.25	$51.43	120
Arizona	5,912	$64.88	$52.81	107
Minnesota	4,124	$69.48	$51.65	13
Pennsylvania	3,688	$65.21	$52.67	104
Louisiana	2,544	$58.28	$51.74	58
Massachusetts	2,333	$70.17	$52.61	38
Maryland	2,172	$68.80	$52.16	46
Virginia	2,095	$66.02	$52.35	40
Nevada	1,816	$65.73	$52.63	29
Illinois	1,782	$65.88	$52.72	46
Georgia	1,335	$62.43	$50.88	42
Washington	1,185	$70.87	$51.39	38
Oklahoma	1,060	$59.65	$51.53	19
Mississippi	985	$58.92	$51.55	29
Connecticut	962	$71.60	$51.75	27
Delaware	953	$65.96	$54.34	18
Ohio	904	$60.12	$50.35	17
Nebraska	890	$60.38	$52.71	22
Michigan	869	$64.04	$52.46	36
Wisconsin	859	$64.05	$51.54	28
North Carolina	844	$61.50	$52.42	27
Kansas	839	$58.67	$50.80	15
Alabama	769	$56.86	$52.97	14
Utah	611	$63.33	$55.45	11
South Carolina	532	$60.92	$51.29	12
Puerto Rico	509	$63.47	$48.16	26
Tennessee	504	$60.87	$51.83	16
Iowa	462	$60.64	$51.72	14
Indiana	441	$60.38	$50.00	9
Arkansas	402	$57.96	$52.43	7
Wyoming	360	$65.52	$49.72	7
Rhode Island	322	$67.93	$51.43	9
Oregon	285	$65.87	$50.92	10
Alaska	271	$76.70	$52.30	9
Kentucky	237	$61.18	$51.47	9
Missouri	204	$62.67	$52.67	8
U.S. Virgin Islands	172	$62.57	$53.32	2
New Mexico	160	$59.51	$54.01	5
Maine	146	$66.13	$52.82	2
Hawaii	126	$73.45	$50.10	2
West Virginia	49	$57.10	$51.31	2
Idaho	40	$63.41	$48.31	2
Montana	19	$66.15	$53.21	1
Vermont	18	$67.97	$55.46	1

Related codes

93296Evaluation of single$21.59
93294Evaluation of single$28.57
93298Evaluation of cardiac rhythm monitor system$76.45
93297Evaluation of implantable heart and blood vessel monitoring system$45.47
93280Programming of dual lead pacemaker system$61.84
93295Evaluation of single$35.37
93229Electrocardiogram (ecg) up to 30 days continuous$1018.21
93247Heart rhythm analysis and report of continous external ekg over 8-15 d$299.31
93248Heart rhythm review and interpretation of continous external ekg over$24.98
93228Electrocardiogram (ecg) up to 30 days continuous$24.32
93243Heart rhythm analysis and report of continous external ekg over more t$279.98
93244Heart rhythm review$22.39

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.