How much does Medicare pay for CPT 95724?

Medicare allowed an average of $307.92 per service and paid $243.40 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1210.25, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95724?

Measurement of brain wave activity with video (veeg), 61-84 hours with review and report by health care professional. It was billed 2,384 times to 2,322 Medicare beneficiaries by 81 providers in 2024.

Does 95724 pay differently in an office than a hospital?

Yes. The allowed amount averaged $307.65 in an office setting and $311.36 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 95724 most?

Neurology, with 2,061 services from 69 clinicians. Next are Independent Diagnostic Testing Facility (IDTF), Epileptologists.

CPT 95724

Measurement of brain wave activity with video (veeg), 61-84 hours with review and report by health care professional

$307.92Medicare-allowed amount per service, averaged across 2,384 services

Providers submitted

$1210.25

Asking price, not received

Medicare allowed

$307.92

The fee schedule figure

Medicare paid

$243.40

Balance is patient coinsurance

Providers submitted an average of $1210.25 for this code and Medicare allowed $307.92 — 3.9× 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 $243.40 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $307.65
Hospital / facility: $311.36

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 2,208 services were billed in an office setting and 176 in a facility.

Services: 2,384
Beneficiaries: 2,322
Providers billing it: 81
Total allowed: $734,081

What Medicare pays for CPT 95724

Across 2,384 services billed by 81 providers to 2,322 beneficiaries, Medicare allowed an average of $307.92 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 95724

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	2,061	2,000	$309.00	69
Independent Diagnostic Testing Facility (IDTF)	294	293	$300.08	11
Epileptologists	29	29	$310.98	1

95724 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	394	$300.59	$243.74	19
California	344	$328.70	$246.47	4
Arizona	325	$300.78	$245.05	10
Florida	269	$310.95	$246.07	10
Tennessee	256	$305.87	$241.87	2
Oklahoma	170	$291.30	$247.54	4
Nevada	135	$281.04	$243.85	4
New Jersey	116	$341.14	$246.35	7
Mississippi	60	$285.44	$248.92	2
Massachusetts	57	$324.87	$244.27	3
Colorado	53	$313.49	$246.50	2
Illinois	50	$317.38	$244.95	4
South Carolina	36	$289.47	$236.28	2
Connecticut	26	$326.09	$246.48	2
Georgia	25	$294.23	$248.55	1
Maryland	18	$341.69	$246.28	1
Arkansas	13	$307.79	$246.79	1
District of Columbia	13	$342.82	$247.09	1
Louisiana	12	$295.49	$246.39	1
Indiana	12	$275.27	$251.80	1

Related codes

95720Measurement of brain wave activity$206.05
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
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.