How much does Medicare pay for CPT 95720?

Medicare allowed an average of $206.05 per service and paid $163.50 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $930.56, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95720?

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional. It was billed 126,414 times to 67,655 Medicare beneficiaries by 1,507 providers in 2024.

Does 95720 pay differently in an office than a hospital?

Yes. The allowed amount averaged $210.20 in an office setting and $205.86 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 95720 most?

Neurology, with 120,760 services from 1,442 clinicians. Next are Neuropsychiatry, Epileptologists, Independent Diagnostic Testing Facility (IDTF).

CPT 95720

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional

$206.05Medicare-allowed amount per service, averaged across 126,414 services

Providers submitted

$930.56

Asking price, not received

Medicare allowed

$206.05

The fee schedule figure

Medicare paid

$163.50

Balance is patient coinsurance

Providers submitted an average of $930.56 for this code and Medicare allowed $206.05 — 4.5× 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 $163.50 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $210.20
Hospital / facility: $205.86

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. 5,542 services were billed in an office setting and 120,872 in a facility.

Services: 126,414
Beneficiaries: 67,655
Providers billing it: 1,507
Total allowed: $26,047,605

What Medicare pays for CPT 95720

Across 126,414 services billed by 1,507 providers to 67,655 beneficiaries, Medicare allowed an average of $206.05 per service. That is 1.9 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 95720

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	120,760	64,792	$206.01	1,442
Neuropsychiatry	1,862	956	$212.01	19
Epileptologists	946	543	$202.07	14
Independent Diagnostic Testing Facility (IDTF)	627	172	$199.16	4
Sleep Medicine	485	216	$203.01	2
Psychiatry	441	218	$201.46	4
Pediatric Medicine	432	248	$234.59	4
Critical Care (Intensivists)	231	109	$191.34	3
Undefined Physician type	212	113	$202.11	3
Neurosurgery	202	144	$201.53	6
Nephrology	88	69	$200.19	3
Family Practice	68	33	$186.92	1
Hospitalist	37	28	$206.76	1
Rheumatology	23	14	$187.39	1

95720 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
New York	17,807	$227.67	$158.51	155
California	8,671	$216.89	$157.99	106
Texas	8,526	$200.64	$159.16	114
Ohio	8,055	$195.42	$158.20	71
New Jersey	7,842	$215.07	$158.84	60
Florida	6,284	$203.96	$158.31	85
Pennsylvania	5,168	$199.80	$157.96	68
Illinois	5,162	$208.75	$158.25	58
Massachusetts	4,739	$213.06	$158.60	59
North Carolina	4,519	$191.51	$158.93	48
Michigan	3,677	$200.70	$156.23	61
Virginia	3,284	$206.34	$157.90	36
Missouri	3,064	$196.26	$157.37	35
Minnesota	2,802	$198.26	$158.48	36
Maryland	2,450	$213.09	$159.11	34
South Carolina	2,391	$193.28	$157.27	25
Wisconsin	2,289	$190.54	$157.53	30
Arizona	2,262	$195.53	$156.90	30
Tennessee	2,255	$188.82	$159.18	34
Colorado	1,793	$199.30	$157.40	34
Georgia	1,744	$199.74	$157.05	32
Alabama	1,721	$189.72	$157.23	19
Kansas	1,482	$191.59	$158.03	9
Washington	1,433	$212.47	$158.16	26
Connecticut	1,431	$214.85	$157.99	29
Kentucky	1,369	$194.21	$156.94	21
Oklahoma	1,352	$190.17	$158.08	13
Indiana	1,309	$189.27	$157.29	23
District of Columbia	1,224	$223.84	$157.89	12
Louisiana	999	$193.69	$158.54	23
Maine	866	$226.81	$158.85	6
Iowa	789	$188.34	$155.66	6
New Hampshire	707	$199.27	$158.12	8
Arkansas	704	$191.84	$158.28	7
Utah	693	$194.49	$157.98	7
Delaware	665	$199.60	$158.86	7
Oregon	579	$199.72	$159.19	14
Nebraska	530	$191.38	$157.32	5
Vermont	488	$193.70	$153.82	4
West Virginia	473	$199.17	$155.37	8
North Dakota	442	$192.06	$158.83	3
Nevada	425	$197.88	$157.03	5
South Dakota	414	$191.62	$156.34	7
New Mexico	413	$204.32	$157.04	8
Mississippi	360	$190.38	$157.60	9
Rhode Island	323	$203.59	$158.88	7
Idaho	264	$186.39	$159.44	5
Hawaii	128	$202.58	$158.83	3
Alaska	29	$251.83	$159.27	1
Montana	18	$205.14	$159.31	1

Related codes

95718Measurement of brain wave activity$133.06
95715Measurement of brain wave activity$979.19
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.