Every state, kept current
The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Florida vision schedule has 119 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Published codes
119
Vision procedures on the 2026 schedule
Median % of Medicare
28%
vs national Medicare, GPCI-neutral
PA required
3
codes flagged by the state
Common vision procedures and what Florida Medicaid pays
A curated sample of recognizable procedures from the 119-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Florida rate | % of Medicare |
|---|---|---|---|
| 92002 | Eye exam, new patient, intermediate | $65.98 | 77.8% |
| 92004 | Eye exam, new patient, comprehensive | $116.38 | 77.8% |
| 92012 | Eye exam, established patient, intermediate | $70.40 | 77.8% |
| 92014 | Eye exam, established patient, comprehensive | $98.97 | 77.8% |
| 92015 | Determination of eyeglass prescription (refraction) | $14.81 | -- |
| 92083 | Visual field examination, extended | $49.62 | 77.8% |
| 92134 | Retinal imaging (OCT scan) | $25.46 | 77.8% |
| 92250 | Photography of the back of the eye (fundus) | $28.83 | 77.8% |
| 92273 | Full-field electroretinography (ERG) | $95.86 | 77.8% |
| 92283 | Color vision examination, extended | $42.86 | 77.8% |
| 92340 | Fitting of eyeglasses, single vision | $27.80 | -- |
| V2020 | Frames, purchases | $9.61 | 10.9% |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $5.56 | 10.2% |
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. Rows marked * show the schedule's representative published variant.
More Florida Medicaid fee schedules
- Florida Medicaid fee schedule 2026, all categories
- Florida physician fee schedule · 6,292 codes
- Florida lab & imaging fee schedule · 2,615 codes
- Florida dme & supplies fee schedule · 1,428 codes
- Florida anesthesia fee schedule · 272 codes
- Florida state-specific services fee schedule · 80 codes
- Florida hearing fee schedule · 24 codes
Vision rates in neighboring states
Frequently asked questions
What does Florida Medicaid pay for vision services and eyewear?
Florida Medicaid publishes 119 vision procedure rates effective 2026, paying a median 28% of the national Medicare amount for the same services. The schedule covers eye exams, refractions, frames, and lenses. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Florida's vision rates compare with Medicare?
Across vision codes with a national Medicare comparator, Florida Medicaid pays a median 28% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do vision services need prior authorization in Florida?
Florida publishes prior-authorization flags on its schedule: 3 vision codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from Florida's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.