Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64462 Injection of anesthetic agent into thoracic vertebra using imaging guidance, additional sites CPT · Musculoskeletal procedure

Classification Procedure › Musculoskeletal › Nerve Block Injection - Back (CMS RBCS)

First observed 2016

National scale 727 services ▼ 7.3% YoY · 665 beneficiaries (CY2024, Medicare FFS)

Medicare paid $35K · $48.26 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

582

FFS of Medicare

49%

Services YoY

-7.3%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~1,280 services

582 observed fee-for-service (45%) · ~698 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 64462 (CY2024)

FL 321 PA 133 NY 84 SC 57 NE 48

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges

$452K

Named-group allowed amount

$32K

Named-group Medicare payments

$25K

Avg charge / svc

$776

Avg allowed / svc

$54

Avg payment / svc

$43

Average charge per group

$367–463

$463–560

$560–656

$656–752

$752–849

$849–945

$945–1,042

$1,042+

$367 6 groups · avg submitted charge / service $1,200

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

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Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 64462 services, highest first, CY2024
#	Physician group activate to sort	City activate to sort	St activate to sort	Specialty activate to sort	Providers activate to sort	64462 svcs sorted descending — activate to reverse	Submitted charges activate to sort	Avg charge activate to sort	Medicare $ locked column	Share* activate to sort	Phone
1	MAYO CLINIC JACKSONVILLE	JACKSONVILLE	FL	NURSE PRACTITIONER	1587	308	$293,170	$952	premium	96.0%	(904) 953-2000
2	UNIVERSITY OF PITTSBURGH PHYSICIANS	PITTSBURGH	PA	DIAGNOSTIC RADIOLOGY	4291	133	$47,670	$358	premium	100.0%	—
3	UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC	MADISON	WI	PHYSICIAN ASSISTANT	2523	41	$38,835	$947	premium	100.0%	(608) 287-2050
4	BON SECOURS ST FRANCIS XAVIER HOSPITAL INC	CHARLESTON	SC	ANESTHESIOLOGY	210	28	$22,540	$805	premium	49.1%	(843) 402-1436
5	UNIVERSITY OF PITTSBURGH PHYSICIANS	PITTSBURGH	TX	DIAGNOSTIC RADIOLOGY	4291	18	$7,718	$429	premium	100.0%	—
6	ANESTHESIOLOGY ASSOCIATES OF BORO PARK, LLP	BROOKLYN	NY	ANESTHESIOLOGY	48	16	$19,200	$1,200	premium	19.0%	(718) 283-8816
7	MEDSTREAM ANESTHESIA PLLC	HENDERSONVILLE	VA	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)	614	14	$6,832	$488	premium	100.0%	(828) 696-1000
8	BON SECOURS ST FRANCIS XAVIER HOSPITAL INC	CHARLESTON	FL	ANESTHESIOLOGY	210	13	$10,465	$805	premium	4.0%	(843) 402-1436
9	MEDSTREAM ANESTHESIA PLLC	HENDERSONVILLE	OH	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)	614	11	$5,368	$488	premium	100.0%	(828) 696-1000

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →