How much does Medicare pay for CPT 92132?

Medicare allowed an average of $30.37 per service and paid $22.64 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $103.12, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 92132?

Imaging of front third of eye. It was billed 38,210 times to 31,174 Medicare beneficiaries by 640 providers in 2024.

Does 92132 pay differently in an office than a hospital?

Yes. The allowed amount averaged $30.74 in an office setting and $16.16 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 92132 most?

Ophthalmology, with 26,325 services from 430 clinicians. Next are Optometry, Physician Assistant.

CPT 92132

Imaging of front third of eye

$30.37Medicare-allowed amount per service, averaged across 38,210 services

Providers submitted

$103.12

Asking price, not received

Medicare allowed

$30.37

The fee schedule figure

Medicare paid

$22.64

Balance is patient coinsurance

Providers submitted an average of $103.12 for this code and Medicare allowed $30.37 — 3.4× 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 $22.64 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $30.74
Hospital / facility: $16.16

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. 37,228 services were billed in an office setting and 982 in a facility.

Services: 38,210
Beneficiaries: 31,174
Providers billing it: 640
Total allowed: $1,160,438

What Medicare pays for CPT 92132

Across 38,210 services billed by 640 providers to 31,174 beneficiaries, Medicare allowed an average of $30.37 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 92132

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ophthalmology	26,325	21,518	$30.75	430
Optometry	11,844	9,621	$29.55	209
Physician Assistant	41	35	$23.67	1

92132 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
New York	9,562	$33.29	$22.33	105
California	9,027	$32.54	$21.05	115
Florida	3,007	$27.59	$20.34	41
Texas	2,626	$27.38	$21.01	34
New Jersey	1,688	$32.95	$21.63	22
Ohio	1,682	$26.04	$19.17	29
Massachusetts	1,031	$28.09	$18.88	25
Oregon	900	$27.52	$19.77	13
Arizona	789	$27.96	$19.10	28
Indiana	771	$26.68	$19.17	28
Pennsylvania	759	$27.96	$20.47	17
Washington	621	$30.74	$19.25	13
Kansas	562	$26.40	$20.27	9
Alabama	520	$27.03	$23.76	3
Michigan	497	$26.82	$19.74	17
Hawaii	446	$31.43	$20.39	11
Illinois	415	$30.21	$20.82	16
Virginia	339	$29.02	$20.74	2
Maryland	280	$30.04	$21.12	15
North Dakota	250	$27.85	$18.28	4
Idaho	215	$27.01	$19.43	9
Wisconsin	208	$19.69	$13.27	6
Connecticut	198	$31.32	$21.68	4
Minnesota	188	$27.84	$17.92	9
Oklahoma	178	$26.15	$20.56	5
Nevada	156	$23.15	$15.37	5
Colorado	154	$29.52	$21.13	7
Utah	137	$26.54	$20.00	3
Louisiana	135	$19.82	$15.29	4
Iowa	134	$16.86	$12.43	3
Wyoming	133	$27.48	$18.67	7
Missouri	130	$29.10	$20.39	7
Kentucky	103	$26.15	$20.85	3
Alaska	58	$35.19	$19.19	3
Rhode Island	55	$20.78	$14.76	3
Georgia	43	$27.57	$21.41	2
Puerto Rico	41	$31.60	$20.31	2
Montana	39	$31.17	$20.98	2
Arkansas	32	$25.63	$19.27	2
New Hampshire	29	$31.23	$20.14	2
District of Columbia	17	$31.65	$22.05	1
Mississippi	15	$28.99	$20.24	1
West Virginia	15	$15.76	$12.50	1
Maine	14	$26.90	$19.49	1
Delaware	11	$30.59	$24.46	1

Related codes

92134Imaging of retina$39.40
92133Imaging of optic nerve$34.19
92136Measurement of corneal curvature and depth of eye$35.52
92145Measurement of corneal pressure$11.44
92100Multiple measurements of eye fluid pressure over an extended time peri$87.51

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.