How much does Medicare pay for CPT 95992?

Medicare allowed an average of $41.72 per service and paid $31.60 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $116.84, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95992?

Repositioning exercises of head for treatment of dizziness, each day. It was billed 69,658 times to 35,797 Medicare beneficiaries by 1,418 providers in 2024.

Does 95992 pay differently in an office than a hospital?

Yes. The allowed amount averaged $41.77 in an office setting and $34.24 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 95992 most?

Physical Therapist in Private Practice, with 41,351 services from 655 clinicians. Next are Otolaryngology, Audiologist, Physician Assistant.

CPT 95992

Repositioning exercises of head for treatment of dizziness, each day

$41.72Medicare-allowed amount per service, averaged across 69,658 services

Providers submitted

$116.84

Asking price, not received

Medicare allowed

$41.72

The fee schedule figure

Medicare paid

$31.60

Balance is patient coinsurance

Providers submitted an average of $116.84 for this code and Medicare allowed $41.72 — 2.8× 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 $31.60 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $41.77
Hospital / facility: $34.24

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. 69,210 services were billed in an office setting and 448 in a facility.

Services: 69,658
Beneficiaries: 35,797
Providers billing it: 1,418
Total allowed: $2,906,132

What Medicare pays for CPT 95992

Across 69,658 services billed by 1,418 providers to 35,797 beneficiaries, Medicare allowed an average of $41.72 per service. That is 1.9 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 95992

Specialty	Services	Beneficiaries	Avg allowed	Providers
Physical Therapist in Private Practice	41,351	16,731	$41.71	655
Otolaryngology	16,153	12,302	$42.60	543
Audiologist	3,334	1,291	$41.79	31
Physician Assistant	3,225	2,155	$35.40	79
Neurology	2,349	1,666	$44.94	43
Nurse Practitioner	1,126	849	$34.57	42
Occupational Therapist in Private Practice	769	299	$41.38	9
Cardiology	743	46	$50.28	2
Internal Medicine	155	138	$43.82	6
Critical Care (Intensivists)	135	76	$50.10	1
Nephrology	129	111	$38.39	1
Physical Medicine and Rehabilitation	67	33	$41.54	1
Family Practice	44	30	$40.98	1
Undefined Physician type	27	24	$41.00	1
Gastroenterology	27	23	$41.18	1

95992 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	9,957	$44.62	$31.76	134
Florida	8,151	$40.63	$30.07	167
New York	4,078	$46.69	$31.82	84
Texas	3,755	$39.75	$30.16	103
Virginia	3,590	$41.85	$31.48	58
Maryland	2,668	$44.05	$30.95	55
New Jersey	2,611	$45.29	$31.67	54
North Carolina	2,523	$41.08	$31.70	45
Pennsylvania	2,397	$41.95	$31.12	52
Illinois	2,043	$42.39	$31.68	36
South Carolina	2,028	$39.50	$30.66	38
Massachusetts	1,639	$42.72	$30.48	33
Montana	1,634	$41.43	$30.54	17
Arizona	1,534	$40.60	$31.10	40
Washington	1,421	$42.95	$31.05	26
Kentucky	1,401	$38.59	$29.54	30
Minnesota	1,382	$41.13	$31.44	32
Indiana	1,365	$39.43	$30.57	18
Georgia	1,354	$40.07	$30.85	46
Louisiana	1,238	$38.07	$30.23	40
Kansas	1,185	$38.98	$30.26	12
Tennessee	1,172	$38.57	$30.31	34
Ohio	1,103	$39.78	$30.62	26
Michigan	952	$39.93	$30.35	27
Alabama	828	$36.93	$31.50	20
Iowa	807	$39.46	$31.83	20
Arkansas	720	$37.11	$29.66	12
Colorado	636	$39.76	$29.74	14
Utah	632	$39.73	$31.44	16
Wyoming	534	$40.29	$30.51	10
Oklahoma	503	$36.25	$28.44	13
Delaware	458	$41.53	$32.19	10
Mississippi	453	$37.39	$29.64	19
Oregon	436	$41.35	$31.40	11
Nebraska	434	$39.63	$30.74	12
Wisconsin	330	$40.06	$30.50	8
Nevada	255	$40.32	$32.04	7
West Virginia	218	$37.06	$28.92	5
South Dakota	184	$39.94	$29.42	3
North Dakota	179	$41.12	$31.28	3
Idaho	134	$38.88	$30.23	5
Connecticut	128	$43.11	$31.92	7
Rhode Island	125	$42.63	$30.72	1
District of Columbia	114	$42.96	$31.58	1
Missouri	102	$39.63	$30.45	5
Alaska	76	$53.30	$30.53	3
Hawaii	76	$43.44	$30.54	1
Maine	55	$41.12	$30.69	2
Guam	22	$40.34	$28.11	1
New Hampshire	20	$41.98	$33.09	1
New Mexico	18	$38.00	$27.98	1

Related codes

95911Nerve conduction$197.67
95910Nerve conduction$157.37
95938Placement of skin electrodes and measurement of stimulated sites on ar$55.24
95923Testing of autonomic (sympathetic) nervous system function$121.40
95909Nerve conduction$117.92
95913Nerve conduction$267.08
95912Nerve conduction$234.05
95921Testing of autonomic nervous system function and heart rate response t$87.65
95939Placement of skin electrodes and measurement of central motor stimulat$122.96
95984Electronic analysis of implanted brain$41.14
95983Electronic analysis of implanted brain$46.17
95955Measurement of brain wave activity (eeg) outside the brain during surg$52.03

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.