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CPT code 92014: Comprehensive eye exam, established patient2026 Medicare rate & RVUs in King County, WA

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 King County, WA, Medicare pays $147.20 for 92014 in the office and $67.29 when it’s performed in a hospital or facility.

$147.20Office (non-facility)
$67.29Hospital or facility
+15.7%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 King County, WA
  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 King County, WA 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. King County, WA pays $147.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

92014 in King County, WA vs other payment areas
  1. King County, WA · this page$147.20
  2. Rest of Washington · Washington$131.71−$15.49
  3. Los Angeles, CA · California$143.12−$4.08
  4. Washington, DC area · District of Columbia$143.94−$3.26
  5. Miami, FL · Florida$132.52−$14.68
  6. Chicago, IL · Illinois$129.71−$17.49
  7. Manhattan, NY · New York$143.79−$3.41

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

Every other payment area

92014 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$155.47$86.11
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

92014 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 King County, WA 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

108

Locality
King County, WA
Physician work
1.050
Practice expense
1.227
Malpractice
0.817
Office calculation for 92014 in King County, WA
ComponentRVULocality factorAdjusted
Physician work1.42× 1.0501.4910
Practice expense2.35× 1.2272.8835
Malpractice0.04× 0.8170.0327
Total RVUs4.4071
Conversion factor× 33.4009

Office rate, King County, WA$147.20

Office: (1.42 × 1.05 + 2.35 × 1.227 + 0.04 × 0.817) × $33.4009 = $147.20

Facility: (1.42 × 1.05 + 0.4 × 1.227 + 0.04 × 0.817) × $33.4009 = $67.29

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.

Codes related to 92014

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 92014
CodeHow it relatesOffice range, King County, WA
Same family
92004Comprehensive eye exam, new patient, one or more visitsComprehensive eye exam for a new patient$172.30
92012Eye exam, intermediate, established patientIntermediate eye exam for an established patient with a narrower scope$105.21
Often billed with
92015RefractionRefraction, often done at the same visit and billed separatelyNo office rate
92083Visual field exam, extended visual field testingExtended visual field testing may accompany a medically indicated glaucoma exam$75.11
92134Retinal OCT, posterior segment, retinaRetinal OCT imaging may accompany exams for diabetic retinal disease or macular degeneration$38.06
Used instead
92018Eye examination, comprehensive, under anesthesiaComplete eye exam performed under general anesthesiaNo office rate
99214Office visit, established patient, moderate complexityOffice E/M visit that may be reported instead of the eye exam code$153.12

How 92014 has changed in King County, WA

92014 · Office / nonfacility

$147.20

Effective 2026-10-01

The base rate is $8.21 higher than on 2025-10-01, moving from $138.99 to $147.20 (5.9%).

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

    $138.99changed to$147.20

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.28 changed to 2.35
    • Work GPCI 1.043 changed to 1.050
    • Practice expense GPCI 1.220 changed to 1.227
    • Malpractice GPCI 0.853 changed to 0.817

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $144.25changed to$138.99

    • 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

    $141.89changed to$144.25

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $144.77changed to$141.89

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.29 changed to 2.31
    • Work GPCI 1.039 changed to 1.043
    • Practice expense GPCI 1.207 changed to 1.220
    • Malpractice GPCI 0.815 changed to 0.853

  5. January 1, 2023

    RVU23A

    $144.81changed to$144.77

    • 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 1.036 changed to 1.039
    • Practice expense GPCI 1.194 changed to 1.207
    • Malpractice GPCI 0.776 changed to 0.815

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $144.76changed to$144.81

    • 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

    $142.20changed to$144.76

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.08 changed to 2.21
    • Work GPCI 1.031 changed to 1.036
    • Practice expense GPCI 1.170 changed to 1.194
    • Malpractice GPCI 0.854 changed to 0.776

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $140.89changed to$142.20

    • 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 1.031
    • Practice expense GPCI 1.146 changed to 1.170
    • Malpractice GPCI 0.931 changed to 0.854

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $140.73changed to$140.89

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $136.85changed to$140.73

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.01 changed to 2.09
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.151 changed to 1.146
    • Malpractice GPCI 0.713 changed to 0.931

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $135.88changed to$136.85

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.00 changed to 2.01
    • Work GPCI 1.025 changed to 1.026
    • Practice expense GPCI 1.155 changed to 1.151
    • Malpractice GPCI 0.495 changed to 0.713

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $136.20changed to$135.88

    • 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

    $135.52changed to$136.20

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $137.00changed to$135.52

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.10 changed to 0.05
    • Practice expense GPCI 1.150 changed to 1.155
    • Malpractice GPCI 0.688 changed to 0.495

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $137.76changed to$137.00

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.19 changed to 2.00
    • Practice expense GPCI 1.144 changed to 1.150
    • Malpractice GPCI 0.881 changed to 0.688

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $137.76

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$147.20$67.29RVU26D
2026-07-01$147.20$67.29RVU26C
2026-04-01$147.20$67.29RVU26B
2026-01-01$147.20$67.29RVU26A
2025-10-01$138.99$79.40RVU25D
2025-07-01$138.99$79.40RVU25C
2025-04-01$138.99$79.40RVU25B
2025-01-01$138.99$79.40RVU25A
2024-10-01$144.25$81.71RVU24D
2024-07-01$144.25$81.71RVU24C
2024-04-01$144.25$81.71RVU24B
2024-03-09$144.25$81.71RVU24AR
2024-01-01$141.89$80.37RVU24A
2023-10-01$144.77$83.00RVU23D
2023-07-01$144.77$83.00RVU23C
2023-04-01$144.77$83.00RVU23B
2023-01-01$144.77$83.00RVU23A
2022-10-01$144.81$83.66RVU22D
2022-07-01$144.81$83.66RVU22C
2022-04-01$144.81$83.66RVU22B
2022-01-01$144.81$83.66RVU22A
2021-10-01$144.76$84.35RVU21D
2021-07-01$144.76$84.35RVU21C
2021-04-01$144.76$84.35RVU21B
2021-01-01$144.76$84.35RVU21A
2020-10-01$142.20$86.47RVU20D
2020-07-01$142.20$86.47RVU20C
2020-04-01$142.20$86.47RVU20B
2020-01-01$142.20$86.47RVU20A
2019-10-01$140.89$86.37RVU19D
2019-07-01$140.89$86.37RVU19C
2019-04-01$140.89$86.37RVU19B
2019-01-01$140.89$86.37RVU19A
2018-10-01$140.73$86.69RVU18D
2018-07-01$140.73$86.69RVU18C
2018-04-01$140.73$86.69RVU18B
2018-01-01$140.73$86.69RVU18AR1
2017-10-01$136.85$86.46RVU17D
2017-07-01$136.85$86.46RVU17C
2017-04-01$136.85$86.46RVU17B
2017-01-01$136.85$86.46RVU17A
2016-10-01$135.88$85.43RVU16D
2016-07-01$135.88$85.43RVU16C
2016-04-01$135.88$85.43RVU16B
2016-01-01$135.88$85.43RVU16A
2015-10-01$136.20$85.56RVU15D
2015-07-01$136.20$85.56RVU15C
2015-04-01$135.52$85.14RVU15B
2015-01-01$135.52$85.14RVU15A
2014-10-01$137.00$87.15RVU14D
2014-07-01$137.00$87.15RVU14C
2014-04-01$137.00$87.15RVU14B
2014-01-01$137.00$87.15RVU14A
2013-10-01$137.76$85.21RVU13D
2013-07-01$137.76$85.21RVU13C
2013-04-01$137.76$85.21RVU13B
2013-01-01$137.76$85.21RVU13AR

Price 92014 for an earlier date of service

Where the King County, WA rate applies

King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.

  • Seattle
  • Algona
  • Ames Lake
  • 92014 in Auburn · multiple payment areas
  • Baring
  • Beaux Arts Village
  • Bellevue
  • Black Diamond

Browse all communities in Washington

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 King County, WAGPCI2026.csv, line 108 (RVU26D)

Open CMS sourceHow we calculate rates

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