| Code | Description | States | Median rate |
|---|---|---|---|
| 92002 | Eye exam, new patient, intermediate | 48 | $65.87 |
| 92004 | Eye exam, new patient, comprehensive | 48 | $114.47 |
| 92012 | Eye exam, established patient, intermediate | 48 | $69.13 |
| 92014 | Eye exam, established patient, comprehensive | 48 | $96.90 |
| 92015 | Determination of eyeglass prescription (refraction) | 43 | $17.10 |
| 92018 | Eye exam under general anesthesia, complete | 48 | $103.16 |
| 92019 | Eye exam under general anesthesia, limited | 48 | $57.46 |
| 92020 | Gonioscopy (eye drainage angle exam) | 48 | $21.95 |
| 92025 | Corneal shape mapping (topography) | 47 | $28.86 |
| 92060 | Eye muscle alignment measurement (sensorimotor exam) | 48 | $49.91 |
| 92065 | Eye muscle exercise training (orthoptics) | 39 | $33.01 |
| 92071 | Contact lens fitting for eye surface disease | 42 | $30.04 |
| 92072 | Contact lens fitting for keratoconus, first | 41 | $98.86 |
| 92081 | Visual field test, limited | 48 | $31.88 |
| 92082 | Visual field test, intermediate | 48 | $42.27 |
| 92083 | Visual field examination, extended | 48 | $53.77 |
| 92100 | Eye pressure measured repeatedly over one day | 45 | $65.92 |
| 92132 | Front-of-eye imaging scan (anterior OCT) | 47 | $26.08 |
| 92133 | Optic nerve imaging scan (OCT) | 48 | $29.07 |
| 92134 | Retinal imaging (OCT scan) | 48 | $31.77 |
| 92136 | Laser eye length measurement with lens implant calculation | 48 | $47.64 |
| 92145 | Corneal hysteresis measurement | 27 | $11.98 |
| 92227 | Retinal imaging with remote clinical staff review | 35 | $13.50 |
| 92228 | Retina imaging with remote physician reading | 38 | $25.26 |
| 92229 | Retina imaging with automated (AI) analysis | 31 | $36.37 |
| 92235 | Retina dye photography (fluorescein angiography) | 48 | $111.57 |
| 92240 | Retina dye photography (indocyanine green) | 47 | $174.75 |
| 92242 | Retina dye photography, fluorescein and indocyanine green | 46 | $225.01 |
| 92250 | Photography of the back of the eye (fundus) | 48 | $37.66 |
| 92265 | Needle EMG of the eye muscles | 47 | $71.30 |
| 92270 | Eye movement electrical recording (EOG) | 47 | $83.68 |
| 92273 | Full-field electroretinography (ERG) | 48 | $105.90 |
| 92274 | Multifocal retina electrical test (ERG) | 48 | $75.93 |
| 92283 | Color vision examination, extended | 43 | $42.54 |
| 92284 | Dark adaptation eye test | 43 | $32.44 |
| 92285 | External eye photography | 43 | $19.93 |
| 92286 | Corneal endothelial cell count (specular microscopy) | 45 | $39.04 |
| 92287 | Front-of-eye imaging with fluorescein dye | 41 | $108.13 |
| 92310 | Contact lens fitting, both eyes | 39 | $78.00 |
| 92311 | Contact lens fitting after cataract surgery, one eye | 39 | $81.28 |
| 92312 | Contact lens fitting after cataract surgery, both eyes | 39 | $92.72 |
| 92313 | Contact lens prescription, corneoscleral lens | 36 | $77.37 |
| 92325 | Contact lens modification | 27 | $38.24 |
| 92326 | Contact lens replacement | 33 | $34.15 |
| 92340 | Fitting of eyeglasses, single vision | 36 | $27.53 |
| 92341 | Eyeglass fitting, bifocal | 36 | $31.39 |
| 92342 | Eyeglass fitting, multifocal | 34 | $33.70 |
| 92352 | Eyeglass fitting for aphakia, single vision | 26 | $27.90 |
| 92353 | Eyeglass fitting for aphakia, multifocal | 29 | $32.04 |
| 92354 | Low vision aid fitting, single element | 18 | $13.61 |
| 92355 | Low vision aid fitting, telescopic | 18 | $19.89 |
| 92358 | Temporary aphakia prosthesis service | 19 | $12.52 |
| 92370 | Eyeglass repair and refitting | 36 | $19.86 |
| 92371 | Eyeglass repair and refitting for aphakia | 25 | $10.56 |
| 92499 | Unlisted eye service | 17 | $50.00 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.