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
--
no national Medicare comparator for this category
Effective vintage
2026
latest effective year on the schedule
Rhode Island publishes only hospital-grain schedules: an outpatient (APC) schedule plus laboratory and radiology fee files. There is no professional physician fee schedule, and because APC amounts bundle facility costs, those rows are shown without a Medicare comparison.
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 | -- |
| 92004 | Eye exam, new patient, comprehensive | $131.88 | -- |
| 92012 | Eye exam, established patient, intermediate | $80.36 | -- |
| 92014 | Eye exam, established patient, comprehensive | $101.35 | -- |
| 92083 | Visual field examination, extended | $90.67 | -- |
| 92134 | Retinal imaging (OCT scan) | $58.77 | -- |
| 92250 | Photography of the back of the eye (fundus) | $90.67 | -- |
| 92273 | Full-field electroretinography (ERG) | $342.72 | -- |
| 92283 | Color vision examination, extended | $62.73 | -- |
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.
This table is the common-procedure sample. Every Rhode Island vision code, plus all 51 jurisdictions, exports as CSV on the Rates plan.
More Rhode Island Medicaid fee schedules
- Rhode Island fee schedule overview
- 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 on its fee-for-service schedule. 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?
Most vision codes in this category have no direct national Medicare comparator (Medicare prices these services through different mechanisms), so a median comparison is not published here.
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.