92014
Ophthalmological exam, comprehensive, established patient
Ophthalmological exam, comprehensive, established patient is the #108 most-billed Medicaid procedure code, with $1.86B in payments across 34.7M claims from 2018–2024. The national median cost per claim is $47.08.
Total Paid
$1.86B
0.17% of all spending
Total Claims
34.7M
Providers
24K
Avg Cost/Claim
$53
National Cost Distribution
How much do providers bill per claim for 92014? Based on 23K providers billing this code nationally.
Median
$47.08
Average
$53.37
Std Dev
$37.60
Max
$734.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $34.95 and $67.92 per claim for this code.
90% bill between $18.79 and $91.28.
Top 1% bill above $140.57.
About This Procedure
HCPCS code 92014 (Ophthalmological exam, comprehensive, established patient) was billed by 24K providers across 34.7M claims, totaling $1.86B in Medicaid payments from 2018–2024. This code was used for 32.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$47.08
Providers Billing
23K
National Spending
$1.86B
Avg/Median Ratio
1.13×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 92014
| # | Provider | Total Paid |
|---|---|---|
| 1 | Premier Eye Care Of Florida Llc Coral Gables, FL · Exclusive Provider Organization | $22.2M |
| 2 | 1942644661 | $16.6M |
| 3 | 1326472945 | $8.9M |
| 4 | 1083660815 | $7.8M |
| 5 | Phoenix Children's Hospital Phoenix, AZ · Pediatrics | $6.6M |
| 6 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $6.2M |
| 7 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $5.9M |
| 8 | 1104868520 | $5.0M |
| 9 | 1164578894 | $4.7M |
| 10 | 1649563636 | $4.7M |
| 11 | 1356860811 | $4.7M |
| 12 | 1760541569 | $4.4M |
| 13 | 1487077483 | $4.3M |
| 14 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $4.3M |
| 15 | Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital | $4.0M |
| 16 | 1619959731 | $3.6M |
| 17 | 1639339930 | $3.5M |
| 18 | 1316146574 | $3.5M |
| 19 | 1962762765 | $3.5M |
| 20 | 1588703995 | $3.4M |
Showing top 20 of 24K providers billing this code