The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Rhode Island vision schedule has 53 codes.
- Every code on all 51 published schedules
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Published codes
53
Vision procedures on the 2026 schedule
Median % of Medicare
179.6%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common vision procedures and what Rhode Island Medicaid pays
A curated sample of recognizable procedures from the 53-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 | Rhode Island rate | % of Medicare |
|---|---|---|---|
| 92002 | Eye exam, new patient, intermediate | $101.35 | 119.5% |
| 92004 | Eye exam, new patient, comprehensive | $131.88 | 88.1% |
| 92012 | Eye exam, established patient, intermediate | $80.36 | 88.8% |
| 92014 | Eye exam, established patient, comprehensive | $101.35 | 79.6% |
| 92083 | Visual field examination, extended | $90.67 | 142.1% |
| 92134 | Retinal imaging (OCT scan) | $58.77 | 179.6% |
| 92250 | Photography of the back of the eye (fundus) | $90.67 | 244.6% |
| 92273 | Full-field electroretinography (ERG) | $342.72 | 278.1% |
| 92283 | Color vision examination, extended | $62.73 | 113.8% |
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 Rhode Island Medicaid fee schedules
- Rhode Island physician fee schedule · 5,024 codes
- Rhode Island lab & imaging fee schedule · 2,784 codes
- Rhode Island drugs fee schedule · 589 codes
- Rhode Island other services fee schedule · 261 codes
- Rhode Island dme & supplies fee schedule · 23 codes
- Rhode Island behavioral health fee schedule · 16 codes
Vision rates in neighboring states
Frequently asked questions
What does Rhode Island Medicaid pay for vision services and eyewear?
Rhode Island Medicaid publishes 53 vision procedure rates effective 2026, paying a median 179.6% 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 Rhode Island's vision rates compare with Medicare?
Across vision codes with a national Medicare comparator, Rhode Island Medicaid pays a median 179.6% 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 Rhode Island?
Rhode Island 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 Rhode Island'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 Rhode Island changes these rates.