Top billers · Codes · 92014

Who bills 92014?

92014 is the CPT code for: Established patient complete exam of visual system. In 2024, 35,261 providers billed 92014 9,164,899 times, with an estimated $760.8M paid by Medicare.

$127.26
2026 PFS national rate (office)
35,261
Providers billing it (2024)
9,164,899
Services billed
$760.8M
Est. Medicare paid
The fee

What does Medicare pay for 92014?

Medicare's 2026 Physician Fee Schedule national rate for 92014 is $127.26 in the office setting and $62.13 in a facility. National amounts before geographic adjustment — your locality's rate differs slightly.

Office (non-facility) rate$127.26
Facility rate$62.13
Fee schedule2026 Medicare Physician Fee Schedule

What Medicare actually paid per service in 2024, on average: $83.01 (observed payment across all settings and modifiers — not a fee-schedule rate).

The list

Who bills 92014 the most.

The top 5 billers nationally, ranked by 2024 Medicare service volume.

#ProviderSpecialtyLocationServicesEst. Medicare paid
1Robert Reinauer, M.D.OphthalmologyDallas, TX5,668$507K
2Sunil Gupta, M.D.OphthalmologyPensacola, FL5,402$491K
3Deborah Reid, M.D.OphthalmologyAnnapolis, MD4,641$426K
4Mohammedyusuf Hajee, M.D.OphthalmologyToms River, NJ4,525$445K
5Lori Birndorf, D.OOphthalmologyValley Village, CA4,507$491K

35,256 more providers billed 92014 in 2024. The full ranked list — filtered to your exact territory, with phone numbers and year-over-year history — is one search in Prospect 811.

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The breakdown

Where 92014 gets billed.

Top states by volume

California863,754 services
Florida707,159 services
Texas677,404 services
New York669,818 services
Illinois406,587 services
New Jersey402,900 services
Pennsylvania387,137 services
Massachusetts365,393 services

About this code

CMS descriptionEstablished patient complete exam of visual system
Code typeCPT (Level I HCPCS)
Providers billing it (2024)35,261
Services billed (2024)9,164,899
Avg. Medicare payment per service (2024)$83.01
Where these numbers come from. Rates are CMS's own public fee-schedule files — the Physician Fee Schedule, Clinical Laboratory Fee Schedule, ASP drug pricing, DMEPOS, and the OPPS/ASC addenda — each labeled with its file year on this page; national amounts are shown before geographic adjustment. Codes with no separate rate render the fee schedule's own status in words, never a fake $0. Utilization comes from CMS's public Medicare Provider Utilization & Payment data for 2024, the most recent year released. It covers traditional Medicare fee-for-service only (no commercial insurance, no Medicare Advantage), and CMS suppresses any provider-and-code line with fewer than 11 beneficiaries before publishing, so low-volume billers don't appear at all. "Est. Medicare paid" is each billing line's average Medicare payment times its service count, summed — actual per-claim payment varies by setting and modifiers. For drug and supply codes, a "service" is a billed unit (a milligram, a milliliter, a square centimeter), not a patient visit. Code descriptions are CMS's own, from the utilization files. Prospect 811 organizes public data; it doesn't add to or alter it. Not affiliated with or endorsed by CMS. Full detail on the data page.

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