CPT 92002 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Ophthalmology Services and Procedures |
| Common Place of Service | • 11 - Office • None • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 25 - Significant, separately identifiable E/M service same day • GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 92002 |
National average reimbursement for CPT 92002 by major payers:
$81.44
$95.95
$100.42
$115.69
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 92002 | ||||||
United | 92002 | $76.40 | 1477739662 - OKLAHOMA PET CENTER LLC | 731581949 - (OK) OKLAHOMA PET CENTER LLC | OK | Radiology Clinic/Center (261QR0200X) |
United | 92002 | $106.91 | 1619087590 - MIGUEL ARENAS | 300394179 - (AZ) MIGUEL A ARENAS MD PC | AZ | Gastroenterology Physician (207RG0100X) |
United | 92002 | $209.55 | 1851798342 - PRIME HEALTHCARE SERVICES LOWER BUCKS LLC, LOWER BUCKS HOSPITAL | 460750728 - (PA) PRIME HEALTHCARE SERVICES LOWER BUCKS, LLC | PA | General Acute Care Hospital (282N00000X) |
United | 92002 | $98.31 | 1154901890 - DRH & ASSOCIATES, INC, HOUSTON MRI & DIAGNOSTIC IMAGING | 760535909 - (TX) DRH & ASSOCIATES, INC. | TX | Radiology Clinic/Center (261QR0200X) |
United | 92002 | $69.44 | 1548446255 - MOLECULAR IMAGING OF HINSDALE, LLC | 261262400 | IL | Radiology Clinic/Center (261QR0200X) |
United | 92002 | $76.40 | 1366490021 - HAWTHORNE WORKS MEDICAL IMAGING, LLC | 203364703 - (IL) HAWTHORNE WORKS MEDICAL IMAGING LLC | IL | Radiology Clinic/Center (261QR0200X) |
United | 92002 | $250.02 | 1477640258 - ST. JOSEPH'S HOSPITAL, YONKERS | 131740127 - (NY) ST JOSEPHS HOSPITAL YONKERS | NY | General Acute Care Hospital (282N00000X) |
United | 92002 | $156.00 | 1487626370 - MARY HARRIS | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | Internal Medicine Physician (207R00000X) |
United | 92002 | $627.21 | 1124574223 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH PATEWOOD HOSPITAL | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 92002 | $171.47 | 1225450588 - PARISH HOSPITAL SERVICE DISTRICT FOR THE PARISH OF ORLEANS, NEW ORLEANS EAST HOSPITAL | 273335876 | LA | General Acute Care Hospital (282N00000X) |
United | 92002 | $371.42 | 1689679581 - ALLE-KISKI MEDICAL CENTER, ALLEGHENY VALLEY HOSPITAL | 251875178 - (PA) HIGHMARK HEALTH | PA | General Acute Care Hospital (282N00000X) |
United | 92002 | $94.22 | 1154645786 - ONE STEP DIAGNOSTIC VII LP | 271803796 - (TX) ONE STEP DIAGNOSTIC VII LP | TX | Radiology Clinic/Center (261QR0200X) |
United | 92002 | $65.98 | 1225009731 - NORTHLAND OPEN MRI LLC | 431825858 - (MO) NORTHLAND OPEN MRI LLC | MO | Radiology Clinic/Center (261QR0200X) |
United | 92002 | $435.01 | 1194744805 - WEST PENN ALLEGHENY HEALTH SYSTEM INC, THE WESTERN PENNSYLVANIA HOSPITAL | 250969492 - (PA) HIGHMARK HEALTH | PA | General Acute Care Hospital (282N00000X) |
United | 92002 | $330.95 | 1598905762 - CENTRAL IOWA HOSPITAL CORPORATION, UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDICAL CENTER | 420680452 - CENTRAL IOWA HOSPITAL CORPORATION | IA | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 92002 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92002 code is part of the Medicine Services and Procedures services used for Ophthalmology Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 92002 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 92002-CPT | Low | Ophthalmological Services: Medical Examination And Evaluation With Initiation Of Diagnostic And Treatment Program; Intermediate, New Patient |
| 92004-CPT | Low | Ophthalmological Services: Medical Examination And Evaluation With Initiation Of Diagnostic And Treatment Program; Comprehensive, New Patient, 1 Or More Visits |
| 92012-CPT | Low | Ophthalmological Services: Medical Examination And Evaluation, With Initiation Or Continuation Of Diagnostic And Treatment Program; Intermediate, Established Patient |
| 92014-CPT | Low | Ophthalmological Services: Medical Examination And Evaluation, With Initiation Or Continuation Of Diagnostic And Treatment Program; Comprehensive, Established Patient, 1 Or More Visits |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92002. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92002 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 92002) and we'll show you how you compare in 15 minutes or less.