How much does Medicare pay for CPT 92025?

Medicare allowed an average of $34.33 per service and paid $25.18 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $100.51, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 92025?

Ct scan of cornea. It was billed 277,363 times to 241,070 Medicare beneficiaries by 3,736 providers in 2024.

Does 92025 pay differently in an office than a hospital?

Yes. The allowed amount averaged $34.79 in an office setting and $19.38 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 92025 most?

Ophthalmology, with 239,371 services from 3,064 clinicians. Next are Optometry, Physician Assistant, Osteopathic Manipulative Medicine.

CPT 92025

Ct scan of cornea

$34.33Medicare-allowed amount per service, averaged across 277,363 services

Providers submitted

$100.51

Asking price, not received

Medicare allowed

$34.33

The fee schedule figure

Medicare paid

$25.18

Balance is patient coinsurance

Providers submitted an average of $100.51 for this code and Medicare allowed $34.33 — 2.9× 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 $25.18 (73%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $34.79
Hospital / facility: $19.38

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 269,064 services were billed in an office setting and 8,299 in a facility.

Services: 277,363
Beneficiaries: 241,070
Providers billing it: 3,736
Total allowed: $9,521,872

What Medicare pays for CPT 92025

Across 277,363 services billed by 3,736 providers to 241,070 beneficiaries, Medicare allowed an average of $34.33 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 92025

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ophthalmology	239,371	207,861	$34.33	3,064
Optometry	37,540	32,818	$34.47	666
Physician Assistant	202	200	$18.62	4
Osteopathic Manipulative Medicine	160	101	$34.34	1
Nurse Practitioner	90	90	$30.67	1

92025 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	51,878	$37.44	$24.52	498
New York	38,269	$37.95	$24.95	358
Texas	25,535	$33.28	$24.19	329
Florida	15,403	$34.37	$25.05	254
Pennsylvania	12,612	$32.48	$23.29	186
New Jersey	8,341	$36.68	$24.39	126
Massachusetts	7,388	$32.43	$21.29	118
Arizona	7,167	$33.59	$24.22	99
Maryland	7,163	$36.66	$24.56	99
Michigan	5,516	$29.89	$21.95	94
Illinois	5,264	$33.18	$23.24	109
North Carolina	4,987	$32.35	$24.90	67
Alabama	4,796	$30.35	$24.19	44
Missouri	4,585	$31.64	$23.04	79
Oregon	4,506	$31.21	$22.04	56
Indiana	4,433	$32.24	$24.31	56
Louisiana	4,368	$26.31	$20.90	52
Georgia	4,034	$32.95	$24.07	88
Colorado	3,984	$33.96	$24.01	64
Virginia	3,890	$34.90	$24.39	56
Wisconsin	3,831	$27.01	$19.41	73
South Carolina	3,335	$31.53	$23.96	40
Minnesota	3,270	$32.10	$22.75	78
Tennessee	3,243	$29.94	$23.06	61
Washington	3,221	$33.57	$22.82	75
Kansas	3,070	$30.43	$24.35	25
Ohio	2,849	$30.30	$22.70	71
Oklahoma	2,779	$31.83	$24.90	54
Connecticut	2,755	$35.63	$24.48	41
Nevada	2,520	$33.34	$23.85	35
Hawaii	2,469	$36.57	$24.82	26
Iowa	2,343	$29.29	$22.07	33
Delaware	1,831	$33.96	$25.40	14
Utah	1,741	$32.45	$24.08	35
Arkansas	1,718	$29.27	$24.19	23
Kentucky	1,350	$32.18	$24.11	31
Rhode Island	1,288	$35.91	$26.09	12
Nebraska	1,116	$29.16	$22.70	16
Idaho	1,000	$31.96	$24.44	16
New Mexico	988	$30.95	$22.92	16
South Dakota	862	$31.26	$22.83	18
Montana	838	$34.07	$24.60	15
Alaska	811	$40.86	$24.11	15
Mississippi	723	$32.43	$25.09	12
District of Columbia	632	$36.72	$25.00	11
West Virginia	508	$24.63	$19.51	10
Maine	466	$31.51	$22.64	11
New Hampshire	462	$30.16	$21.85	16
North Dakota	352	$32.82	$23.73	10
Wyoming	349	$34.64	$23.16	4
Puerto Rico	230	$23.94	$24.00	2
Guam	161	$37.72	$26.25	2
Northern Mariana Islands	78	$19.22	$10.26	1
Vermont	42	$32.76	$24.42	1
U.S. Virgin Islands	13	$32.37	$12.36	1

Related codes

92014Established patient complete exam of visual system$124.11
92012Established patient problem focused exam of visual system$90.55
92083Exam of visual field$61.28
92004New patient complete exam of visual system$145.45
92020Exam of the internal drainage system of eye$27.92
92060Exam to measure eye deviation and range of motion$60.27
92082Exam of visual field$43.78
92002New patient problem focused exam of visual system$84.57
92081Exam of visual field$30.43
92065Eye training exercise performed by health care professional$39.76
92071Fitting of contact lens for treatment of eye surface disease$37.72
92066Eye training exercise under supervision of health care professional$26.12

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.