How much does Medicare pay for CPT 94060?

Medicare allowed an average of $27.89 per service and paid $21.15 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $124.07, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 94060?

Test to measure expiratory airflow and volume changes before and after medication administration. It was billed 753,303 times to 686,740 Medicare beneficiaries by 8,949 providers in 2024.

Does 94060 pay differently in an office than a hospital?

Yes. The allowed amount averaged $36.76 in an office setting and $9.89 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 94060 most?

Pulmonary Disease, with 532,164 services from 5,610 clinicians. Next are Internal Medicine, Critical Care (Intensivists), Allergy/ Immunology.

CPT 94060

Test to measure expiratory airflow and volume changes before and after medication administration

$27.89Medicare-allowed amount per service, averaged across 753,303 services

Providers submitted

$124.07

Asking price, not received

Medicare allowed

$27.89

The fee schedule figure

Medicare paid

$21.15

Balance is patient coinsurance

Providers submitted an average of $124.07 for this code and Medicare allowed $27.89 — 4.4× 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 $21.15 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $36.76
Hospital / facility: $9.89

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. 504,624 services were billed in an office setting and 248,679 in a facility.

Services: 753,303
Beneficiaries: 686,740
Providers billing it: 8,949
Total allowed: $21,009,621

What Medicare pays for CPT 94060

Across 753,303 services billed by 8,949 providers to 686,740 beneficiaries, Medicare allowed an average of $27.89 per service. 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 94060

Specialty	Services	Beneficiaries	Avg allowed	Providers
Pulmonary Disease	532,164	491,852	$26.54	5,610
Internal Medicine	88,353	79,475	$31.17	1,148
Critical Care (Intensivists)	50,330	48,167	$24.71	705
Allergy/ Immunology	30,034	22,928	$37.86	649
Nurse Practitioner	15,217	13,081	$30.84	273
Family Practice	8,799	7,204	$38.05	203
Physician Assistant	4,646	4,304	$27.43	97
Sleep Medicine	4,048	3,860	$21.33	48
General Practice	3,551	2,836	$42.26	30
Hospitalist	3,118	3,075	$22.91	44
Cardiology	2,990	2,777	$38.65	51
Neurology	2,747	1,518	$43.73	3
Emergency Medicine	2,416	1,355	$40.59	16
Otolaryngology	640	586	$39.80	12
Independent Diagnostic Testing Facility (IDTF)	600	588	$29.52	7

94060 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	75,703	$34.91	$23.38	745
New York	72,958	$38.52	$25.63	723
Florida	70,879	$31.80	$24.73	669
Texas	52,487	$31.18	$24.57	579
New Jersey	34,781	$35.94	$24.44	394
Pennsylvania	31,329	$20.47	$15.48	463
Illinois	26,687	$19.89	$14.96	341
Arizona	26,057	$31.13	$24.03	237
Ohio	24,996	$15.99	$12.54	356
Michigan	23,650	$24.94	$18.97	344
Virginia	22,741	$29.68	$21.79	225
Massachusetts	21,422	$19.97	$14.02	243
Georgia	20,510	$31.60	$25.26	281
Indiana	18,385	$19.84	$15.78	223
Maryland	17,247	$34.16	$24.68	160
North Carolina	16,855	$26.01	$20.77	205
Missouri	13,160	$16.36	$13.03	180
Washington	12,159	$25.57	$18.28	175
South Carolina	11,089	$28.68	$23.21	156
Tennessee	10,467	$25.74	$21.22	208
Connecticut	9,822	$31.40	$22.36	143
Kentucky	9,280	$18.62	$15.35	172
Alabama	9,280	$27.50	$23.76	94
Wisconsin	8,959	$16.39	$12.86	153
Colorado	8,003	$23.38	$17.37	150
Minnesota	7,374	$23.24	$17.39	119
Nevada	7,196	$29.62	$23.03	57
Iowa	7,018	$15.46	$12.40	83
Arkansas	6,693	$20.41	$17.57	73
Oregon	6,617	$19.43	$14.47	89
Oklahoma	6,436	$17.94	$14.95	106
Nebraska	6,310	$23.02	$18.32	64
Kansas	5,884	$25.18	$20.90	71
Louisiana	5,572	$19.78	$16.34	94
West Virginia	5,141	$17.26	$13.65	62
Delaware	4,569	$28.05	$21.66	27
New Hampshire	4,110	$12.87	$9.66	43
Mississippi	4,053	$18.93	$15.96	50
Utah	3,730	$20.06	$15.93	47
New Mexico	3,645	$24.07	$19.98	34
Idaho	3,483	$10.83	$8.22	43
South Dakota	3,198	$11.35	$8.58	25
Montana	2,288	$15.82	$11.83	31
North Dakota	1,854	$10.81	$8.26	25
Maine	1,774	$12.92	$9.85	36
Rhode Island	1,683	$23.18	$16.63	32
District of Columbia	1,214	$27.92	$18.85	29
Vermont	1,203	$11.11	$8.35	19
Puerto Rico	1,035	$37.66	$28.29	22
Alaska	786	$21.18	$12.63	18
Hawaii	645	$9.78	$7.25	18
Wyoming	439	$14.33	$10.84	9
XX	332	$44.30	$30.05	1
U.S. Virgin Islands	67	$38.53	$29.38	1
Guam	48	$34.43	$19.58	2

Related codes

94010Test to measure expiratory airflow and volume$21.18
94004Nursing facility ventilation assistance and management$47.32
94070Test to measure lung airway sensitivity$56.92
94003Follow-up inpatient or observation ventilation assistance and manageme$63.87
94016Test to measure expiratory airflow and volume initiated by patient and$24.25

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.