localis

Describe a service in plain words, or type a CPT/HCPCS code.

Specialty rate rollup

Cardiology

Diagnostic cardiac testing and common cardiology procedures, including EKGs, echocardiograms, catheterization, and device implants.

This is a curated starter set for comparison. It doesn't claim that every specialty bills every code, and it isn't a utilization-weighted average.

At a glance

Q4 2024 compared with the prior available PFS release.

Conversion factor: 0.0% no change

Payable codes

9 / 9

Changed this release

0

Largest increase

None

Largest decrease

None

See the rates where you practice

Enter a ZIP code to apply that Medicare locality’s work, practice-expense, and malpractice adjustments to every row.

Current national rates Copy link

Q4 2024 release

Office (non-facility) and facility professional amounts, GPCI 1.000, before sequestration.

Code and service Status Office (non-facility) Facility
Visits and evaluation
99213 Routine Follow-Up Office Visit Active
$90.87
No price history
$65.24
No price history
99214 Long Follow-Up Office Visit Active
$128.16
No price history
$96.20
No price history
Testing and diagnostics
93000 Heart Tracing Active
$14.31
No price history
$14.31
No price history
93306 Heart Ultrasound Active
$196.06
No price history
$196.06
No price history
93451 Active
$848.83
No price history
$848.83
No price history
93017 Active
$37.61
No price history
$37.61
No price history
93225 Active
$18.31
No price history
$18.31
No price history
Surgical and endoscopic procedures
92928 Coronary Artery Stent Procedure Active
$572.21
No price history
$572.21
No price history
33208 Active
$507.63
No price history
$507.63
No price history

Every code links to its contracted-rate (% of Medicare) table and a full RVU breakdown, plus billing-policy context and rate history.

How often these codes appear in Medicare Copy link

Across Original Medicare nationally in CY2024, the covered codes on this page accounted for the activity below. It counts use by clinicians of every specialty, not just Cardiology, and CMS publishes it on a different cycle from the fee schedule.

Services

190.4M

Times these codes were billed

Allowed dollars

$19.1B

Across covered Medicare FFS services

Most used in this set

99214

103.7M services

Coverage: 9 of 9 displayed codes. HCPCS Level II and excluded drug codes may not appear in this utilization dataset.

What this specialty actually bills Medicare

Observed CY2024 Medicare fee-for-service billing by Cardiology clinicians, grouped by CMS rendering-provider specialty. That grouping differs from this page's Cardiology label, so treat it as context for the curated list above.

Top codes by allowed dollars Share of allowed Allowed
99214 20.3% $1.3B
93306 10.7% $694.9M
78431 not in the list above 4.1% $267.3M
78452 not in the list above 4.0% $256.0M
99215 not in the list above 3.5% $227.9M
99233 not in the list above 3.1% $202.6M
99232 not in the list above 3.0% $194.9M
99213 2.8% $179.2M
99204 not in the list above 2.7% $172.6M
99223 not in the list above 2.5% $161.0M
Top codes by services Share of services Services
93010 not in the list above 12.9% 10.7M
99214 12.8% 10.6M
93000 8.2% 6.8M
93306 7.5% 6.2M
Q9967 not in the list above 4.1% 3.4M
99232 not in the list above 3.0% 2.5M
G2211 not in the list above 2.6% 2.2M
J2785 not in the list above 2.5% 2.0M
99213 2.5% 2.0M
J1306 not in the list above 2.3% 1.9M

Localis can price 85% of this cohort's observed services (88% of allowed dollars) under the Q4 2024 release. The rest is clinical lab, drugs, or services paid outside the PFS under other fee schedules, not $0.

Established patient office visits—Office (non-facility)

Visit levels as shares of the 2024 services observed in this family, across 22,466 clinicians.

99211
1%
99212
1%
99213
15%
99214
75%
99215
9%

New patient office visits—Office (non-facility)

Visit levels as shares of the 2024 services observed in this family, across 18,842 clinicians.

99202
1%
99203
7%
99204
73%
99205
19%

Also high-volume for this cohort (observed, not yet in the curated list above)

This is observed billing only. The curated table above is still this page's rate list.

CY2024 Medicare fee-for-service only. Codes billed by fewer than 30 observed clinicians in a single setting are not shown, so shares may not total 100%. CMS publishes only a facility vs non-facility split, not exact places of service. Observed use adds context to the curated table above. It doesn't weight or change any rate on this page.

Turn the list into contract math

Analyze a payer offer using these Cardiology codes

We’ll preload the code set in Contract Check. Add your annual volumes and ZIP to see the volume-weighted percentage of Medicare and annual-dollar difference.

Open in Contract Check

Get notified when Cardiology rates change

Medicare updates the fee schedule every quarter. We'll email you only when a release moves one of the 9 Cardiology codes on this page.

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Source & method Copy link

Amounts are computed from the CMS Medicare Physician Fee Schedule Q4 2024 release, GPCI 1.000, before the ~2% sequestration cut. The grouping by common clinical scenario is our own, not the AMA’s code-family taxonomy, and it’s a curated starter set, not a utilization-weighted specialty mix. A code with no amount is either not separately payable under the PFS or absent from the release. It never means $0.