CPT code 92014: Comprehensive eye exam, established patient2026 Medicare rate & RVUs in Rhode Island

Report a comprehensive ophthalmic evaluation of an established patient when the visual system is assessed and a diagnostic or treatment plan is initiated or continued.

CMS RVU26DEffective Oct 1, 2026One payment locality9.2M Medicare services in 2024

In Rhode Island, Medicare pays $130.60 for 92014 in the office and $63.32 when it’s performed in a hospital or facility.

$130.60Office (non-facility)
$63.32Hospital or facility
+2.6%vs the national office rate ($127.26)

Check a contract rate as a % of Medicare · 92014 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 92014 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Rhode Island
  2. What 92014 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 92014 covers

An ophthalmologist or optometrist performs this comprehensive assessment for an established patient, usually in an eye care office. Established status depends on professional services within the preceding three years from the clinician or a clinician of the same specialty and subspecialty in the same group. The evaluation addresses the visual system through history, general medical observation, external and ophthalmoscopic examinations, gross visual fields, and a basic sensorimotor assessment. Slit-lamp examination, tonometry, or dilation may be included when indicated. Common medical reasons include glaucoma follow-up, cataract evaluation, and diabetic retinopathy monitoring.

Report 92014 once for the comprehensive service, even if completed over multiple visits; use 92012 for an intermediate examination. The record should support the examination scope, medical reason, and initiation or continuation of a diagnostic or treatment plan. Medicare does not cover routine eye exams without a medical indication. Refraction, when performed, is separately reported with 92015 and excluded from Medicare coverage; medically necessary visual field testing or retinal imaging may also be reported separately. The code covers one or both eyes and is already priced as bilateral, so modifier 50 does not increase payment.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Rhode Island compares for 92014

Across 109 of 109 payment localities, the office rate for 92014 runs from $115.54 in Arkansas to $166.55 in San Benito County, CA. Rhode Island pays $130.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

92014 in Rhode Island vs other payment areas
  1. Rhode Island · this page$130.60
  2. Los Angeles, CA · California$143.12+$12.52
  3. Washington, DC area · District of Columbia$143.94+$13.34
  4. Miami, FL · Florida$132.52+$1.92
  5. Chicago, IL · Illinois$129.71−$0.89
  6. Manhattan, NY · New York$143.79+$13.19
  7. Alaska · Alaska$155.47+$24.87

Other areas in Rhode Island first, then benchmark localities. Bars start at $0.

Every other payment area

92014 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$116.87$59.88
ArkansasArkansas$115.54$59.59
ArizonaArizona$124.63$61.52
Bakersfield, CACalifornia$135.17$63.79
Chico, CACalifornia$134.98$63.59
El Centro, CACalifornia$134.99$63.60
Fresno, CACalifornia$134.98$63.59
Hanford, CACalifornia$134.98$63.59

92014 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$115.54

$155.47

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
92014 office rate range by state
State / territoryOffice rate rangeLocalities
AK$155.471
AL$116.871
AR$115.541
AZ$124.631
CA$134.98–$166.5529
CO$132.561
CT$134.531
DC$143.941
DE$126.421
FL$124.48–$132.523
GA$119.04–$128.922
GU$137.451
HI$137.451
IA$119.781
ID$120.271
IL$121.18–$130.744
IN$120.841
KS$119.061
KY$118.431
LA$118.17–$122.812
MA$131.91–$144.282
MD$128.56–$143.943
ME$120.47–$126.062
MI$120.60–$125.432
MN$128.591
MO$116.39–$123.493
MS$116.001
MT$127.251
NC$121.521
ND$126.461
NE$120.381
NH$130.311
NJ$136.51–$142.902
NM$121.011
NV$127.111
NY$122.94–$146.275
OH$120.441
OK$118.561
OR$126.55–$136.392
PA$120.75–$131.592
PR$128.101
RI$130.601
SC$121.091
SD$126.371
TN$119.501
TX$120.10–$131.758
UT$122.411
VA$125.53–$143.942
VI$128.101
VT$125.811
WA$131.71–$147.202
WI$123.041
WV$117.551
WY$126.911

See 92014 in every payment locality

How the 92014 rate is calculated

Each of 92014’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 92014

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.42

1.42 RVUs× 1.000 GPCI

Practice expense2.35

2.35 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

3.8100

Conversion factor

$33.4009

Medicare rate

$127.26

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Rhode Island inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,662

Code
92014
Physician work
1.42
Practice expense
2.35
Malpractice
0.04

GPCI2026.csv

92

Locality
Rhode Island
Physician work
1.019
Practice expense
1.033
Malpractice
0.892
Office calculation for 92014 in Rhode Island
ComponentRVULocality factorAdjusted
Physician work1.42× 1.0191.4470
Practice expense2.35× 1.0332.4276
Malpractice0.04× 0.8920.0357
Total RVUs3.9102
Conversion factor× 33.4009

Office rate, Rhode Island$130.60

Office: (1.42 × 1.019 + 2.35 × 1.033 + 0.04 × 0.892) × $33.4009 = $130.60

Facility: (1.42 × 1.019 + 0.4 × 1.033 + 0.04 × 0.892) × $33.4009 = $63.32

Open 92014 in the RVU calculator

Payment rules and modifiers for 92014

The CMS indicators that decide how 92014 is paid alongside other services.

CMS payment indicators · 92014

Comprehensive eye exam, established patient

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 92014 has changed in Rhode Island

92014 · Office / nonfacility

$130.60

Effective 2026-10-01

The base rate is $5.79 higher than on 2025-10-01, moving from $124.81 to $130.60 (4.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $124.81changed to$130.60

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.28 changed to 2.35
    • Work GPCI 1.025 changed to 1.019
    • Practice expense GPCI 1.039 changed to 1.033
    • Malpractice GPCI 0.849 changed to 0.892

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $129.47changed to$124.81

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.31 changed to 2.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $127.36changed to$129.47

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $131.48changed to$127.36

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.29 changed to 2.31
    • Work GPCI 1.023 changed to 1.025
    • Practice expense GPCI 1.044 changed to 1.039
    • Malpractice GPCI 0.915 changed to 0.849
  5. January 1, 2023

    RVU23A

    $133.11changed to$131.48

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.24 changed to 2.29
    • Malpractice RVU 0.05 changed to 0.04
    • Work GPCI 1.021 changed to 1.023
    • Practice expense GPCI 1.048 changed to 1.044
    • Malpractice GPCI 0.981 changed to 0.915

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $133.12changed to$133.11

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.21 changed to 2.24

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $133.01changed to$133.12

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.08 changed to 2.21
    • Work GPCI 1.024 changed to 1.021
    • Practice expense GPCI 1.049 changed to 1.048
    • Malpractice GPCI 0.990 changed to 0.981

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $133.81changed to$133.01

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.09 changed to 2.08
    • Malpractice RVU 0.06 changed to 0.05
    • Work GPCI 1.027 changed to 1.024
    • Practice expense GPCI 1.050 changed to 1.049
    • Malpractice GPCI 0.999 changed to 0.990

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $133.66changed to$133.81

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $130.02changed to$133.66

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.01 changed to 2.09
    • Work GPCI 1.025 changed to 1.027
    • Practice expense GPCI 1.052 changed to 1.050
    • Malpractice GPCI 0.879 changed to 0.999

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $129.00changed to$130.02

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.00 changed to 2.01
    • Work GPCI 1.022 changed to 1.025
    • Practice expense GPCI 1.053 changed to 1.052
    • Malpractice GPCI 0.759 changed to 0.879

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $129.19changed to$129.00

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.05 changed to 0.06

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $128.54changed to$129.19

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $130.81changed to$128.54

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.10 changed to 0.05
    • Work GPCI 1.020 changed to 1.022
    • Malpractice GPCI 0.973 changed to 0.759

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$130.81

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$130.60$63.32RVU26D
2026-07-01$130.60$63.32RVU26C
2026-04-01$130.60$63.32RVU26B
2026-01-01$130.60$63.32RVU26A
2025-10-01$124.81$74.06RVU25D
2025-07-01$124.81$74.06RVU25C
2025-04-01$124.81$74.06RVU25B
2025-01-01$124.81$74.06RVU25A
2024-10-01$129.47$76.21RVU24D
2024-07-01$129.47$76.21RVU24C
2024-04-01$129.47$76.21RVU24B
2024-03-09$129.47$76.21RVU24AR
2024-01-01$127.36$74.97RVU24A
2023-10-01$131.48$78.06RVU23D
2023-07-01$131.48$78.06RVU23C
2023-04-01$131.48$78.06RVU23B
2023-01-01$131.48$78.06RVU23A
2022-10-01$133.11$79.43RVU22D
2022-07-01$133.11$79.43RVU22C
2022-04-01$133.11$79.43RVU22B
2022-01-01$133.11$79.43RVU22A
2021-10-01$133.12$80.09RVU21D
2021-07-01$133.12$80.09RVU21C
2021-04-01$133.12$80.09RVU21B
2021-01-01$133.12$80.09RVU21A
2020-10-01$133.01$83.04RVU20D
2020-07-01$133.01$83.04RVU20C
2020-04-01$133.01$83.04RVU20B
2020-01-01$133.01$83.04RVU20A
2019-10-01$133.81$83.86RVU19D
2019-07-01$133.81$83.86RVU19C
2019-04-01$133.81$83.86RVU19B
2019-01-01$133.81$83.86RVU19A
2018-10-01$133.66$84.14RVU18D
2018-07-01$133.66$84.14RVU18C
2018-04-01$133.66$84.14RVU18B
2018-01-01$133.66$84.14RVU18AR1
2017-10-01$130.02$83.96RVU17D
2017-07-01$130.02$83.96RVU17C
2017-04-01$130.02$83.96RVU17B
2017-01-01$130.02$83.96RVU17A
2016-10-01$129.00$83.00RVU16D
2016-07-01$129.00$83.00RVU16C
2016-04-01$129.00$83.00RVU16B
2016-01-01$129.00$83.00RVU16A
2015-10-01$129.19$83.03RVU15D
2015-07-01$129.19$83.03RVU15C
2015-04-01$128.54$82.61RVU15B
2015-01-01$128.54$82.61RVU15A
2014-10-01$130.81$85.17RVU14D
2014-07-01$130.81$85.17RVU14C
2014-04-01$130.81$85.17RVU14B
2014-01-01$130.81$85.17RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 92014 for an earlier date of service

Where the Rhode Island rate applies

Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.

  • Ashaway
  • Bradford
  • Carolina
  • Central Falls
  • Charlestown
  • Chepachet
  • Clayville
  • Cranston

Browse all communities in Rhode Island

92014 billing questions

When should 92014 be chosen over 92012?

Use 92014 when the documented examination covers the comprehensive visual system assessment and initiates or continues a diagnostic or treatment plan. Use 92012 for an intermediate examination that does not meet that comprehensive scope.

Is refraction included in 92014?

No. Report a separately performed refraction with 92015; Medicare excludes refraction from coverage.

Should modifier RT, LT, or 50 be appended?

Routine reporting of 92014 does not require RT or LT; document the eye or eyes examined. The code covers one or both eyes and is already priced as bilateral, so modifier 50 does not increase payment.

Can an office E/M code be billed instead of 92014?

Yes. An eye care provider may report an office E/M code instead when its documentation requirements are met. Do not report both an office E/M code and 92014 for the same examination.

What qualifies the patient as established for this code?

The patient has received professional services within the preceding three years from the provider or another provider of the same specialty and subspecialty in the same group. If the patient is new, consider 92004 when a comprehensive ophthalmic examination is performed.

Does Medicare pay for an annual comprehensive exam with no complaints?

An annual schedule alone does not establish coverage. A medically indicated examination, such as glaucoma surveillance or diabetic retinal disease monitoring, may qualify even without new complaints; routine vision screening is not covered.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 92014PPRRVU2026_Oct_nonQPP.csv, line 11,662 (RVU26D)
Geographic factors for Rhode IslandGPCI2026.csv, line 92 (RVU26D)

Open CMS sourceHow we calculate rates

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