How much does Medicare pay for HCPCS V2632?

Medicare allowed an average of $136.49 per service and paid $108.75 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $931.00, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code V2632?

Posterior chamber intraocular lens. It was billed 5,218 times to 3,126 Medicare beneficiaries by 46 providers in 2024.

Does V2632 pay differently in an office than a hospital?

Yes. The allowed amount averaged $136.46 in an office setting and $137.29 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 V2632 most?

Ophthalmology, with 5,218 services from 46 clinicians.

HCPCS V2632

Posterior chamber intraocular lens

$136.49Medicare-allowed amount per service, averaged across 5,218 services

Providers submitted

$931.00

Asking price, not received

Medicare allowed

$136.49

The fee schedule figure

Medicare paid

$108.75

Balance is patient coinsurance

Providers submitted an average of $931.00 for this code and Medicare allowed $136.49 — 6.8× 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 $108.75 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $136.46
Hospital / facility: $137.29

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 5,029 services were billed in an office setting and 189 in a facility.

Services: 5,218
Beneficiaries: 3,126
Providers billing it: 46
Total allowed: $712,205

What Medicare pays for HCPCS V2632

Across 5,218 services billed by 46 providers to 3,126 beneficiaries, Medicare allowed an average of $136.49 per service. That is 1.7 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 V2632

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ophthalmology	5,218	3,126	$136.49	46

V2632 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
Florida	1,839	$136.56	$109.50	10
California	717	$136.80	$109.50	5
Nebraska	439	$137.29	$109.39	3
Washington	376	$135.09	$109.90	2
Oregon	300	$137.29	$109.39	3
New York	288	$136.81	$109.48	2
Kansas	209	$137.29	$109.39	1
Utah	142	$134.57	$109.97	1
Michigan	133	$137.29	$109.39	1
Connecticut	123	$136.45	$109.61	2
South Dakota	101	$135.17	$109.93	2
North Carolina	99	$134.52	$109.94	2
Idaho	97	$134.46	$109.95	2
Wisconsin	64	$135.54	$109.82	2
Alabama	64	$135.14	$109.82	2
Tennessee	57	$137.29	$109.39	1
Ohio	56	$137.29	$109.39	1
Arizona	55	$137.29	$109.39	2
Colorado	41	$137.29	$109.39	1
Massachusetts	18	$137.29	$109.39	1

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.