How much does Medicare pay for CPT 00142?

Medicare allowed an average of $94.99 per service and paid $74.59 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $881.79, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 00142?

Anesthesia for lens surgery. It was billed 1,615,397 times to 1,398,219 Medicare beneficiaries by 19,043 providers in 2024.

Does 00142 pay differently in an office than a hospital?

Yes. The allowed amount averaged $76.54 in an office setting and $95.53 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 00142 most?

Certified Registered Nurse Anesthetist (CRNA), with 929,560 services from 10,528 clinicians. Next are Anesthesiology, Anesthesiology Assistant, Pain Management.

CPT 00142

Anesthesia for lens surgery

$94.99Medicare-allowed amount per service, averaged across 1,615,397 services

Providers submitted

$881.79

Asking price, not received

Medicare allowed

$94.99

The fee schedule figure

Medicare paid

$74.59

Balance is patient coinsurance

Providers submitted an average of $881.79 for this code and Medicare allowed $94.99 — 9.3× 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 $74.59 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $76.54
Hospital / facility: $95.53

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 45,595 services were billed in an office setting and 1,569,802 in a facility.

Services: 1,615,397
Beneficiaries: 1,398,219
Providers billing it: 19,043
Total allowed: $153,446,561

What Medicare pays for CPT 00142

Across 1,615,397 services billed by 19,043 providers to 1,398,219 beneficiaries, Medicare allowed an average of $94.99 per service. That is 1.2 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 00142

Specialty	Services	Beneficiaries	Avg allowed	Providers
Certified Registered Nurse Anesthetist (CRNA)	929,560	796,131	$96.57	10,528
Anesthesiology	656,551	575,172	$93.98	7,977
Anesthesiology Assistant	22,676	21,159	$59.43	445
Pain Management	3,270	2,852	$101.86	44
Interventional Pain Management	1,219	1,138	$84.01	22
Emergency Medicine	928	711	$97.23	3
Critical Care (Intensivists)	608	553	$75.13	10
Family Practice	262	197	$114.28	2
Allergy/ Immunology	89	87	$105.54	1
General Practice	60	57	$74.34	2
Osteopathic Manipulative Medicine	57	54	$91.92	3
Plastic and Reconstructive Surgery	38	35	$104.73	1
Internal Medicine	30	26	$69.11	2
Hospitalist	22	20	$87.06	1
Diagnostic Radiology	14	14	$118.26	1

00142 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	124,671	$85.08	$67.58	1,413
California	124,373	$122.05	$92.68	1,670
Florida	108,593	$100.76	$76.99	1,063
New York	90,379	$96.97	$71.07	1,055
Pennsylvania	87,253	$82.79	$65.08	1,096
North Carolina	62,141	$71.35	$57.51	1,002
Illinois	59,379	$98.97	$75.37	1,087
Ohio	57,837	$90.98	$71.94	821
Virginia	55,489	$82.58	$64.83	497
Georgia	52,148	$83.91	$66.62	570
Tennessee	47,422	$96.37	$79.61	507
Michigan	45,969	$81.10	$63.13	659
Massachusetts	43,177	$98.18	$74.14	348
New Jersey	43,172	$105.88	$78.07	422
South Carolina	39,509	$83.52	$68.17	345
Maryland	37,934	$112.47	$85.58	317
Washington	34,399	$104.37	$80.64	328
Arizona	34,150	$106.87	$85.10	220
Missouri	34,073	$97.24	$77.43	418
Alabama	28,358	$65.43	$54.23	393
Indiana	27,579	$96.41	$79.07	332
Minnesota	25,225	$79.68	$64.35	500
Kentucky	24,669	$98.07	$79.26	290
Kansas	23,129	$100.67	$81.69	208
Wisconsin	22,996	$86.56	$71.04	492
Connecticut	22,562	$76.86	$58.33	271
Colorado	22,134	$96.10	$75.67	267
Louisiana	20,615	$102.09	$82.09	275
Oklahoma	19,587	$98.52	$79.97	138
Iowa	19,168	$104.80	$84.45	242
Mississippi	18,477	$89.76	$73.23	182
Arkansas	16,120	$100.94	$85.47	126
Nebraska	14,199	$100.83	$83.47	123
Nevada	13,050	$102.35	$81.79	95
Oregon	11,978	$107.82	$83.97	159
New Hampshire	10,555	$103.59	$81.63	78
South Dakota	10,406	$95.33	$77.62	60
New Mexico	10,119	$101.52	$78.73	72
Utah	9,355	$103.87	$83.65	161
West Virginia	9,284	$83.99	$65.00	139
Idaho	7,538	$99.84	$83.88	59
North Dakota	6,127	$101.20	$82.79	62
Maine	6,120	$103.61	$83.00	89
Montana	5,809	$110.05	$83.12	41
Rhode Island	5,129	$97.81	$74.84	44
Delaware	4,833	$93.28	$74.96	33
District of Columbia	4,167	$83.92	$63.43	63
Hawaii	3,593	$114.19	$90.88	51
Alaska	3,516	$136.85	$80.85	51
Vermont	3,446	$87.70	$71.17	59
Wyoming	1,830	$111.16	$87.72	25
Puerto Rico	739	$191.46	$147.26	14
Guam	516	$132.43	$99.92	4
AE	153	$113.51	$91.86	2
ZZ	149	$104.59	$83.35	3
U.S. Virgin Islands	99	$135.73	$110.69	2

Related codes

00140Anesthesia for other procedure on eye$123.68
00145Anesthesia for retinal surgery$148.90
00104Anesthesia for electroshock therapy$80.75
00103Anesthesia for procedure on eyelid$139.67
00160Anesthesia for other procedure on nose and sinuses$150.31
00144Anesthesia for procedure on eye for corneal transplant$143.81
00170Anesthesia for other procedure on mouth$148.06
00120Anesthesia for other procedure on external middle and inner ear$184.90

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.