How much does Medicare pay for CPT 82962?

Medicare allowed an average of $3.18 per service and paid $3.18 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $16.38, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 82962?

Blood glucose (sugar) test performed by hand-held instrument. It was billed 649,296 times to 320,519 Medicare beneficiaries by 6,345 providers in 2024.

Does 82962 pay differently in an office than a hospital?

Yes. The allowed amount averaged $3.18 in an office setting and $3.21 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 82962 most?

Endocrinology, with 183,002 services from 907 clinicians. Next are Internal Medicine, Family Practice, Nurse Practitioner.

CPT 82962

Blood glucose (sugar) test performed by hand-held instrument

$3.18Medicare-allowed amount per service, averaged across 649,296 services

Providers submitted

$16.38

Asking price, not received

Medicare allowed

$3.18

The fee schedule figure

Medicare paid

$3.18

Balance is patient coinsurance

Providers submitted an average of $16.38 for this code and Medicare allowed $3.18 — 5.2× 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 $3.18 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $3.18
Hospital / facility: $3.21

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 648,489 services were billed in an office setting and 807 in a facility.

Services: 649,296
Beneficiaries: 320,519
Providers billing it: 6,345
Total allowed: $2,064,761

What Medicare pays for CPT 82962

Across 649,296 services billed by 6,345 providers to 320,519 beneficiaries, Medicare allowed an average of $3.18 per service. That is 2.0 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 82962

Specialty	Services	Beneficiaries	Avg allowed	Providers
Endocrinology	183,002	98,526	$3.18	907
Internal Medicine	150,215	65,529	$3.18	1,363
Family Practice	125,132	55,253	$3.19	1,511
Nurse Practitioner	103,306	56,446	$3.18	1,436
Physician Assistant	33,940	21,173	$3.18	614
General Practice	12,636	5,384	$3.20	91
Geriatric Medicine	11,040	500	$3.21	15
Clinical Laboratory	6,087	4,204	$3.20	10
Emergency Medicine	3,594	2,726	$3.18	108
Pain Management	2,506	1,414	$3.13	37
Interventional Pain Management	2,013	1,185	$3.19	31
Cardiology	1,866	726	$3.21	15
Physical Medicine and Rehabilitation	1,649	994	$3.16	30
Gastroenterology	1,333	822	$3.21	20
Anesthesiology	1,270	714	$3.18	22

82962 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
California	85,093	$3.19	$3.21	689
New York	57,869	$3.19	$3.21	470
Georgia	48,684	$3.17	$3.21	422
Florida	38,808	$3.20	$3.21	351
Texas	34,026	$3.19	$3.21	382
North Carolina	32,654	$3.19	$3.21	385
Maryland	30,487	$3.17	$3.21	321
Illinois	29,410	$3.19	$3.21	258
Tennessee	23,975	$3.16	$3.21	214
New Jersey	22,176	$3.19	$3.21	220
Michigan	21,947	$3.18	$3.21	254
Virginia	20,720	$3.17	$3.21	178
Ohio	20,504	$3.17	$3.21	237
Nebraska	19,995	$3.21	$3.21	14
South Carolina	18,475	$3.19	$3.21	163
Massachusetts	16,602	$3.20	$3.21	177
Alabama	15,314	$3.16	$3.21	168
Indiana	11,494	$3.17	$3.21	94
Louisiana	10,960	$3.14	$3.16	125
Connecticut	9,484	$3.20	$3.21	108
Pennsylvania	8,045	$3.18	$3.21	113
Arizona	6,870	$3.19	$3.21	100
Kentucky	6,111	$3.16	$3.21	68
Arkansas	5,792	$3.17	$3.21	45
Mississippi	5,549	$3.17	$3.21	94
Missouri	5,299	$3.18	$3.21	53
Oklahoma	4,520	$3.18	$3.21	57
District of Columbia	4,477	$3.19	$3.21	93
Washington	4,207	$3.16	$3.21	69
Wisconsin	3,851	$3.18	$3.21	68
New Mexico	3,699	$3.17	$3.21	55
Utah	3,148	$3.15	$3.21	13
Delaware	2,885	$3.19	$3.21	22
Kansas	2,135	$3.19	$3.21	15
Colorado	1,895	$3.20	$3.21	31
Nevada	1,828	$3.13	$3.21	34
U.S. Virgin Islands	1,798	$3.21	$3.21	11
Minnesota	1,424	$3.18	$3.21	21
West Virginia	1,255	$3.17	$3.21	15
Rhode Island	1,113	$3.18	$3.21	32
Oregon	940	$3.20	$3.21	26
New Hampshire	788	$3.19	$3.21	24
Iowa	739	$3.18	$3.21	12
South Dakota	419	$3.20	$3.21	6
Alaska	380	$3.18	$3.21	8
Hawaii	308	$3.17	$3.21	12
Montana	288	$3.21	$3.21	4
Wyoming	280	$3.21	$3.21	3
Idaho	207	$3.20	$3.21	4
Maine	117	$3.21	$3.21	1
ZZ	101	$3.11	$3.21	1
Puerto Rico	85	$3.21	$3.21	2
AE	30	$3.10	$3.21	1
AP	19	$3.21	$3.21	1
Guam	17	$2.92	$3.21	1

Related codes

82947Blood glucose (sugar) level$3.83
82977Glutamyltransferase (liver enzyme) level$7.03
82985Glycated protein level$16.27
82945Glucose (sugar) level on body fluid$3.83
82948Blood glucose (sugar) measurement$4.90
82955G6pd (enzyme) level$9.50
82950Blood glucose (sugar) level after receiving dose of glucose$4.53
82978Glutathione (protein) level$15.12
82941Gastrin (gi tract hormone) level$17.17
82951Blood glucose (sugar) tolerance test$12.59
82952Blood glucose (sugar) tolerance test$3.84

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.