How much does Medicare pay for CPT 93229?

Medicare allowed an average of $1018.21 per service and paid $803.75 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $4335.85, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Does 93229 pay differently in an office than a hospital?

Yes. The allowed amount averaged $1018.22 in an office setting and $745.02 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 93229 most?

Independent Diagnostic Testing Facility (IDTF), with 257,276 services from 42 clinicians. Next are Cardiology, Clinical Cardiac Electrophysiology, Interventional Cardiology.

CPT 93229

Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional

$1018.21Medicare-allowed amount per service, averaged across 382,240 services

Providers submitted

$4335.85

Asking price, not received

Medicare allowed

$1018.21

The fee schedule figure

Medicare paid

$803.75

Balance is patient coinsurance

Providers submitted an average of $4335.85 for this code and Medicare allowed $1018.21 — 4.3× 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 $803.75 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $1018.22
Hospital / facility: $745.02

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. 382,222 services were billed in an office setting and 18 in a facility.

Services: 382,240
Beneficiaries: 372,775
Providers billing it: 2,314
Total allowed: $389,200,590

What Medicare pays for CPT 93229

Across 382,240 services billed by 2,314 providers to 372,775 beneficiaries, Medicare allowed an average of $1018.21 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 93229

Specialty	Services	Beneficiaries	Avg allowed	Providers
Independent Diagnostic Testing Facility (IDTF)	257,276	251,786	$1106.95	42
Cardiology	83,371	80,713	$839.69	1,476
Clinical Cardiac Electrophysiology	18,822	18,103	$830.48	237
Interventional Cardiology	14,984	14,644	$807.87	361
Internal Medicine	4,397	4,281	$857.80	119
Nurse Practitioner	977	952	$792.86	27
Emergency Medicine	842	747	$947.24	4
Cardiac Surgery	357	347	$876.32	6
Family Practice	308	308	$802.23	13
Advanced Heart Failure and Transplant Cardiology	262	258	$819.98	10
Physician Assistant	205	204	$787.38	8
Undefined Physician type	160	158	$890.18	2
Intensive Cardiac Rehabilitation	99	98	$953.56	1
Hospitalist	60	60	$913.05	3
Thoracic Surgery	39	38	$741.59	1

93229 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	181,155	$1097.09	$628.81	375
Texas	92,731	$1065.46	$622.14	243
Florida	16,227	$788.22	$629.49	312
New York	13,044	$922.70	$631.75	214
Georgia	12,760	$1015.12	$627.13	58
New Jersey	11,888	$895.42	$631.31	157
Arizona	10,211	$781.63	$628.10	199
Illinois	7,308	$795.57	$631.56	119
Pennsylvania	5,437	$843.91	$630.56	65
Nevada	4,567	$791.94	$629.35	45
Virginia	3,167	$833.24	$632.93	50
Michigan	2,582	$778.99	$630.33	57
Minnesota	2,045	$839.39	$627.70	5
Maryland	1,893	$900.53	$632.40	46
Delaware	1,876	$792.36	$630.68	31
South Carolina	1,723	$738.05	$630.51	23
Louisiana	1,572	$710.38	$630.49	53
Massachusetts	1,523	$873.75	$631.13	27
Kentucky	1,224	$741.35	$631.19	14
Washington	1,003	$824.35	$632.00	27
Connecticut	1,000	$863.38	$627.16	10
Ohio	950	$722.46	$628.45	20
Mississippi	909	$689.04	$629.60	19
Utah	858	$752.69	$632.41	18
North Carolina	600	$733.54	$624.94	19
Tennessee	491	$715.55	$630.89	7
Arkansas	428	$706.03	$629.59	6
Indiana	412	$734.22	$625.06	10
Missouri	400	$744.00	$631.91	13
Alabama	366	$677.39	$629.90	14
Oregon	318	$813.31	$630.89	12
Oklahoma	297	$721.70	$619.46	10
West Virginia	236	$676.10	$624.73	4
Kansas	201	$717.57	$630.75	6
Iowa	176	$727.01	$634.28	8
Wisconsin	141	$852.89	$632.22	2
Alaska	121	$798.76	$628.60	1
District of Columbia	98	$929.35	$636.15	4
Vermont	78	$816.56	$634.17	1
New Hampshire	53	$826.74	$637.30	2
Nebraska	37	$755.48	$624.64	2
Maine	35	$826.91	$634.02	1
Wyoming	31	$796.83	$636.95	1
Rhode Island	23	$749.16	$633.68	1
Idaho	16	$783.09	$623.58	1
Colorado	15	$847.24	$637.29	1
New Mexico	14	$818.14	$637.30	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
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
93284Programming of multiple lead implantable defibrillator system$85.19

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.