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See a sample rate comparisonHealthcare 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 | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $32.73 national non-facility rate (2026) · View Medicare rates for 92134 |
| Medicaid Fee Schedule | $26.47 median of the 8 states in the free preview · View Medicaid rates for 92134 |
National average reimbursement for CPT 92134 by major payers:

$49.68

$53.03

$53.73

$74.43
Choose a payer to see a sample of rates for CPT 92134.
Jennifer Taylor
Sutter Bay Medical Foundation
University Of Miami
Jw Eye Associates, PLLC, Key Whitman Eye Center
Jw Eye Associates, PA
Finlay Medical Clinic Sa, LLC
Finlay Medical Clinic Sa LLC
Steven Abrams
Lens Lab Express Of Graham Avenue Inc
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See a sample payer proposalCPT 92134 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92134 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 92134 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 |
|---|---|---|
| 92082-CPT | Low | Intermediate Visual Field Xm, Visual Field Examination Unilateral Or Bilateral With Interpretation And Report Intermediate Examination Eg At Least 2 Isopters On Goldmann Perimeter Or Semiquantitative Automated Suprathreshold Screening Program Humphrey Suprathreshold Automatic Diagnostic Test Octopus Program 33 |
| 92083-CPT | Low | Extended Visual Field Xm, Visual Field Examination Unilateral Or Bilateral With Interpretation And Report Extended Examination Eg Goldmann Visual Fields With At Least 3 Isopters Plotted And Static Determination Within The Central 30 Deg Or Quantitative Automated Threshold Perimetry Octopus Program G 1 32 Or 42 Humphrey Visual Field Analyzer Full Threshold Programs 30 2 24 2 Or 30 60 2 |
| 92132-CPT | Low | Eye Scan To Detect Disease, An Eye Scan Used For Diagnosing Eye Disease. Images May Show Early Signs Of Glaucoma And The Scanning Technique May Also Be Used To Check The Health Of The Optic Nerve Or Retina. |
| 92134-CPT | Low | Eye Scan To Detect Disease, An Eye Scan Used For Diagnosing Eye Disease. Images May Show Early Signs Of Glaucoma And The Scanning Technique May Also Be Used To Check The Health Of The Optic Nerve Or Retina. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92134. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92134 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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CPT 92134 fee schedules are affected by several factors including Medicare & Medicaid rates (government-set amounts), Private Insurance rates (negotiated between providers and insurers), Geographic Location (costs may be higher in urban areas), and Provider Type (hospital providers may have different rates than private practice). For specific fee schedule information tailored to your location and needs, you can use Payerprice's fee schedule lookup tool to search with the CPT code and your specific location.