How much does Medicare pay for CPT 92060?

Medicare allowed an average of $60.27 per service and paid $44.90 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $142.39, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 92060?

Exam to measure eye deviation and range of motion. It was billed 123,086 times to 90,508 Medicare beneficiaries by 1,821 providers in 2024.

Does 92060 pay differently in an office than a hospital?

Yes. The allowed amount averaged $62.35 in an office setting and $36.91 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 92060 most?

Ophthalmology, with 81,556 services from 1,098 clinicians. Next are Optometry, Neurology, Family Practice.

CPT 92060

Exam to measure eye deviation and range of motion

$60.27Medicare-allowed amount per service, averaged across 123,086 services

Providers submitted

$142.39

Asking price, not received

Medicare allowed

$60.27

The fee schedule figure

Medicare paid

$44.90

Balance is patient coinsurance

Providers submitted an average of $142.39 for this code and Medicare allowed $60.27 — 2.4× 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 $44.90 (74%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $62.35
Hospital / facility: $36.91

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. 113,033 services were billed in an office setting and 10,053 in a facility.

Services: 123,086
Beneficiaries: 90,508
Providers billing it: 1,821
Total allowed: $7,418,393

What Medicare pays for CPT 92060

Across 123,086 services billed by 1,821 providers to 90,508 beneficiaries, Medicare allowed an average of $60.27 per service. That is 1.4 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 92060

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ophthalmology	81,556	59,909	$60.40	1,098
Optometry	35,057	25,682	$61.10	642
Neurology	5,814	4,565	$54.04	70
Family Practice	284	51	$62.38	1
Diagnostic Radiology	153	117	$36.68	1
Pediatric Medicine	141	106	$62.56	5
Otolaryngology	34	34	$58.12	2
Physical Medicine and Rehabilitation	27	25	$57.93	1
Physician Assistant	20	19	$28.99	1

92060 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	16,687	$65.53	$43.90	185
Florida	14,226	$60.41	$45.10	173
New York	11,498	$66.37	$44.86	166
Texas	7,684	$58.50	$43.84	109
Illinois	5,668	$58.17	$41.62	60
Arizona	5,192	$58.57	$47.00	41
New Jersey	5,030	$68.50	$47.39	72
Pennsylvania	4,835	$59.26	$44.17	83
Maryland	4,605	$65.12	$45.74	54
Massachusetts	3,823	$53.53	$36.04	54
North Carolina	3,009	$58.28	$44.73	50
Virginia	2,605	$58.94	$42.88	61
Connecticut	2,571	$64.87	$44.44	30
Michigan	2,459	$56.42	$43.46	51
Ohio	2,367	$53.63	$41.55	54
Minnesota	2,330	$57.28	$41.73	45
Georgia	2,272	$56.58	$42.88	25
Colorado	2,064	$52.84	$38.31	36
Washington	1,949	$63.53	$43.19	43
Kansas	1,854	$53.92	$45.52	14
Oregon	1,697	$60.55	$43.39	32
Missouri	1,626	$49.30	$37.67	35
Tennessee	1,624	$53.98	$42.80	43
Indiana	1,517	$54.16	$44.51	20
Nevada	1,183	$61.72	$45.60	16
Utah	1,173	$57.95	$43.58	29
Louisiana	1,133	$53.20	$42.49	13
Alabama	1,104	$55.38	$45.95	15
South Carolina	1,067	$54.21	$41.43	20
Wisconsin	916	$49.53	$36.95	28
New Hampshire	758	$51.14	$36.70	17
Kentucky	739	$55.78	$45.76	17
Hawaii	577	$61.46	$39.99	11
Iowa	558	$55.52	$42.99	16
Delaware	553	$62.12	$47.82	8
Oklahoma	475	$58.18	$45.75	13
Nebraska	468	$44.42	$35.24	9
Mississippi	427	$53.67	$43.48	6
Montana	332	$57.80	$40.58	7
New Mexico	285	$54.13	$43.27	5
Rhode Island	279	$63.79	$47.65	7
District of Columbia	262	$70.82	$47.46	4
Vermont	244	$46.60	$31.97	3
Arkansas	234	$53.32	$43.45	4
Maine	233	$55.15	$39.85	7
North Dakota	232	$50.93	$36.44	6
Idaho	230	$44.42	$33.94	7
Alaska	150	$70.21	$42.86	5
Wyoming	148	$62.17	$44.83	5
West Virginia	78	$53.98	$40.60	4
South Dakota	41	$60.81	$45.95	2
Puerto Rico	15	$62.62	$43.02	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
92025Ct scan of cornea$34.33
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.