CPT 92014 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 • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 25 - Significant, separately identifiable E/M service same day • 24 - Unrelated E/M service during postoperative period |
| Complexity Level | Low |
National average reimbursement for CPT 92014 by major payers:
$116.45
$143.81
$149.26
$166.92
| 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 92014 | ||||||
United | 92014 | $98.94 | 1497287635 - JAE KIM | 383474766 - UNIVERSITY PHYSICIAN GROUP | CA | Ophthalmology Physician (207W00000X) |
United | 92014 | $138.25 | 1427117795 - ROBERT WORTMAN | 61248015 - (CT) VISION CENTER LTD | PA | Optometrist (152W00000X) |
United | 92014 | $62.59 | 1215060736 - BARRY CONCOOL | 221967242 - (NJ) NEW JERSEY EYE CENTER | FL | Ophthalmology Physician (207W00000X) |
United | 92014 | $244.39 | 1427091073 - STEWART SKIPPER | 590725553 - (FL) ADVENTIST HEALTH SYSTEM-SUNBELT INC | FL | Surgery Physician (208600000X) |
United | 92014 | $224.44 | 1811960958 - KURT STOCKAMP | 590634434 - SACRED HEART HEALTH SYSTEM INC | FL | Surgery Physician (208600000X) |
United | 92014 | $204.22 | 1275596892 - JOSEPH SOKOL | 204851980 - (CT) CONNECTICUT EYE SPECIALISTS, L.L.C. | CT | Ophthalmology Physician (207W00000X) |
United | 92014 | $80.66 | 1033314703 - MY HANH NGUYEN | 591493386 - (FL) FLORIDA EYE CLINIC, P.A. | FL | Ophthalmology Physician (207W00000X) |
United | 92014 | $128.35 | 1528293594 - MOHAMED SHARABY | 271248032 - (VA) MARY WASHINGTON EYE CARE CENTER LLC | FL | Ophthalmology Physician (207W00000X) |
United | 92014 | $93.91 | 1912360926 - KHALIL HARBIE | 262533871 - (KY) FRANKFORT EYE CENTER, PSC | TX | Ophthalmology Physician (207W00000X) |
United | 92014 | $67.13 | 1366133555 - ANDREA DEPOUTOT | 50391364 - (RI) KOCH EYE ASSOCIATES | RI | Optometrist (152W00000X) |
United | 92014 | $87.34 | 1023016243 - PHILIP SHETTLE | 274499519 - (FL) LEE SHETTLE, D.O., P.A. | FL | Ophthalmology Physician (207W00000X) |
United | 92014 | $153.75 | 1023196037 - THERA BOWEN | 61065050 - (CT) EYE PHYSICIANS & SURGEONS, P.C. | CT | Optometrist (152W00000X) |
United | 92014 | $80.66 | 1316142979 - TAL KAZAM | 591493386 - (FL) FLORIDA EYE CLINIC, P.A. | NY | Ophthalmology Physician (207W00000X) |
United | 92014 | $79.13 | 1932514585 - ITZA ACEVEDO OJEDA | 591234760 - (FL) DIGAETANO CATARACT SERVICES PA | FL | Ophthalmology Physician (207W00000X) |
United | 92014 | $78.08 | 1922669761 - DAVID LU | 43702949 - (DE) HALPERN MEDICAL SERVICES, LLC | MD | Ophthalmology Physician (207W00000X) |
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 |
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CPT 92014 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92014 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 92014 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 92014. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92014 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.
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