How much does Medicare pay for CPT 95715?

Medicare allowed an average of $979.19 per service and paid $780.06 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $4850.02, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95715?

Measurement of brain wave activity with video (veeg), 12-26 hours with intermittent monitoring. It was billed 18,640 times to 6,533 Medicare beneficiaries by 108 providers in 2024.

Does 95715 pay differently in an office than a hospital?

Yes. The allowed amount averaged $978.61 in an office setting and $1018.01 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 95715 most?

Independent Diagnostic Testing Facility (IDTF), with 10,604 services from 23 clinicians. Next are Neurology, Psychiatry, Family Practice.

CPT 95715

Measurement of brain wave activity with video (veeg), 12-26 hours with intermittent monitoring

$979.19Medicare-allowed amount per service, averaged across 18,640 services

Providers submitted

$4850.02

Asking price, not received

Medicare allowed

$979.19

The fee schedule figure

Medicare paid

$780.06

Balance is patient coinsurance

Providers submitted an average of $4850.02 for this code and Medicare allowed $979.19 — 5.0× 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 $780.06 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $978.61
Hospital / facility: $1018.01

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 18,367 services were billed in an office setting and 273 in a facility.

Services: 18,640
Beneficiaries: 6,533
Providers billing it: 108
Total allowed: $18,252,102

What Medicare pays for CPT 95715

Across 18,640 services billed by 108 providers to 6,533 beneficiaries, Medicare allowed an average of $979.19 per service. That is 2.9 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 95715

Specialty	Services	Beneficiaries	Avg allowed	Providers
Independent Diagnostic Testing Facility (IDTF)	10,604	3,703	$995.86	23
Neurology	7,754	2,736	$955.07	82
Psychiatry	220	73	$1014.12	2
Family Practice	62	21	$1019.88	1

95715 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
Texas	9,377	$1015.95	$813.65	41
New Jersey	1,370	$999.77	$804.33	11
Florida	1,296	$1019.97	$811.61	6
California	1,130	$932.47	$745.51	6
New York	924	$974.78	$769.19	4
Arizona	787	$772.14	$622.00	8
Oklahoma	781	$1002.18	$807.63	4
Mississippi	627	$1013.86	$814.33	1
Nevada	488	$750.41	$645.52	3
Illinois	370	$908.66	$722.20	3
Colorado	193	$1019.40	$812.59	2
Massachusetts	192	$848.19	$642.26	2
Arkansas	158	$1085.61	$809.92	2
Wisconsin	148	$725.21	$597.74	1
Maryland	113	$1066.21	$811.64	2
Tennessee	110	$1019.91	$811.23	1
North Carolina	109	$866.00	$709.11	2
Indiana	107	$771.33	$619.16	1
South Carolina	106	$772.20	$650.22	1
Washington	79	$851.44	$657.44	2
Virginia	53	$1011.83	$812.75	1
Iowa	49	$782.98	$623.84	1
Kentucky	31	$801.29	$631.89	1
Ohio	23	$802.11	$639.08	1
Pennsylvania	19	$980.36	$787.47	1

Related codes

95720Measurement of brain wave activity$206.05
95718Measurement of brain wave activity$133.06
95700Measurement of brain wave activity (eeg)$249.73
95708Measurement of brain wave activity (eeg)$218.43
95717Measurement of brain wave activity (eeg)$106.45
95716Measurement of brain wave activity$1217.54
95719Measurement of brain wave activity (eeg)$162.59
95724Measurement of brain wave activity$307.92
95713Measurement of brain wave activity$567.17
95714Measurement of brain wave activity$239.19
95709Measurement of brain wave activity (eeg)$791.85
95723Measurement of brain wave activity (eeg)$249.20

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.