The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Florida vision schedule has 24 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
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Published codes
24
Vision procedures on the 2026 schedule
Median % of Medicare
50.3%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common vision procedures and what Florida Medicaid pays
A curated sample of recognizable procedures from the 24-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 | $30.79 | 36.3% |
| 92004 | Eye exam, new patient, comprehensive | $63.42 | 42.4% |
| 92012 | Eye exam, established patient, intermediate | $34.01 | 37.6% |
| 92014 | Eye exam, established patient, comprehensive | $51.25 | 40.3% |
| 92015 | Determination of eyeglass prescription (refraction) | $12.64 | -- |
| 92340 | Fitting of eyeglasses, single vision | $12.41 | -- |
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 physician fee schedule · 2,259 codes
- Florida dme & supplies fee schedule · 1,412 codes
- Florida behavioral health fee schedule · 15 codes
- Florida other services fee schedule · 1 codes
Vision rates in neighboring states
Frequently asked questions
What does Florida Medicaid pay for vision services and eyewear?
Florida Medicaid publishes 24 vision procedure rates effective 2026, paying a median 50.3% 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 50.3% 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 does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
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.
Get an email the next time Florida changes these rates.