How much does Medicare pay for CPT 93284?

Medicare allowed an average of $85.19 per service and paid $63.09 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $284.58, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93284?

Programming of multiple lead implantable defibrillator system. It was billed 135,066 times to 96,542 Medicare beneficiaries by 3,172 providers in 2024.

Does 93284 pay differently in an office than a hospital?

Yes. The allowed amount averaged $92.44 in an office setting and $57.38 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 93284 most?

Clinical Cardiac Electrophysiology, with 80,362 services from 1,628 clinicians. Next are Cardiology, Nurse Practitioner, Physician Assistant.

CPT 93284

Programming of multiple lead implantable defibrillator system

$85.19Medicare-allowed amount per service, averaged across 135,066 services

Providers submitted

$284.58

Asking price, not received

Medicare allowed

$85.19

The fee schedule figure

Medicare paid

$63.09

Balance is patient coinsurance

Providers submitted an average of $284.58 for this code and Medicare allowed $85.19 — 3.3× 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 $63.09 (74%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $92.44
Hospital / facility: $57.38

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. 107,157 services were billed in an office setting and 27,909 in a facility.

Services: 135,066
Beneficiaries: 96,542
Providers billing it: 3,172
Total allowed: $11,506,273

What Medicare pays for CPT 93284

Across 135,066 services billed by 3,172 providers to 96,542 beneficiaries, Medicare allowed an average of $85.19 per service. That is 1.4 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 93284

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Cardiac Electrophysiology	80,362	57,694	$86.12	1,628
Cardiology	35,096	24,090	$87.53	976
Nurse Practitioner	9,195	7,128	$72.06	257
Physician Assistant	3,305	2,639	$71.74	100
Interventional Cardiology	3,162	2,191	$90.35	109
Internal Medicine	3,036	2,122	$83.48	75
Cardiac Surgery	177	132	$73.09	4
Advanced Heart Failure and Transplant Cardiology	147	84	$73.62	4
Certified Clinical Nurse Specialist	117	99	$58.22	4
Hospitalist	108	85	$98.82	5
Family Practice	72	59	$98.90	1
Undefined Physician type	70	54	$113.22	2
Critical Care (Intensivists)	70	56	$96.78	1
Interventional Radiology	37	21	$89.21	1
Vascular Surgery	26	22	$54.36	1

93284 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	11,327	$92.24	$68.19	278
California	10,434	$94.03	$63.60	266
Texas	9,952	$83.60	$62.26	217
New York	7,877	$98.08	$65.58	183
Illinois	6,799	$88.74	$64.13	130
Pennsylvania	5,535	$86.80	$62.92	158
Ohio	5,443	$79.04	$59.82	139
Virginia	5,090	$74.17	$52.83	105
Georgia	4,883	$85.22	$64.74	93
New Jersey	4,639	$103.04	$68.56	83
North Carolina	4,311	$82.58	$63.52	100
Arizona	4,197	$89.11	$67.48	84
South Carolina	3,639	$80.95	$62.62	75
Indiana	3,481	$85.35	$64.58	82
Tennessee	3,331	$78.87	$60.72	75
Michigan	3,111	$75.27	$54.66	85
Maryland	2,732	$100.67	$68.76	60
Missouri	2,700	$80.29	$60.27	75
Massachusetts	2,597	$83.49	$57.23	78
Kansas	2,380	$71.01	$54.50	45
Minnesota	2,307	$85.35	$60.94	67
Arkansas	2,110	$65.08	$49.66	43
Wisconsin	1,990	$75.09	$55.76	56
Washington	1,925	$90.10	$63.29	42
Kentucky	1,747	$80.02	$61.54	49
Mississippi	1,632	$75.69	$57.40	35
Alabama	1,546	$76.93	$59.40	41
Iowa	1,533	$68.20	$52.45	39
Connecticut	1,484	$84.03	$57.55	47
Oklahoma	1,393	$70.91	$55.26	21
Nebraska	1,311	$82.55	$64.76	34
Nevada	1,132	$93.66	$67.59	23
Oregon	1,118	$80.26	$56.60	31
Montana	1,088	$83.98	$60.15	14
Louisiana	1,080	$83.60	$64.75	22
Colorado	867	$91.65	$65.42	33
Delaware	712	$83.91	$59.84	23
West Virginia	710	$67.04	$50.08	17
North Dakota	612	$60.96	$43.20	9
Utah	563	$85.33	$64.92	16
South Dakota	507	$57.91	$41.74	8
New Mexico	447	$55.62	$38.67	8
Idaho	420	$65.12	$48.42	13
New Hampshire	384	$59.32	$41.73	16
Alaska	378	$101.59	$57.04	4
District of Columbia	372	$96.22	$64.87	10
Maine	337	$60.08	$43.06	13
Rhode Island	277	$69.54	$49.81	9
Vermont	277	$69.87	$47.81	9
Wyoming	195	$97.81	$72.09	5
Hawaii	138	$82.51	$58.26	3
Puerto Rico	16	$102.29	$76.01	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.