# CPT 92228: Img Retina Detcj/mntr Ds Rem Phys/qhp I&r Uni/bi

Medicare CPT 92228 pays $30.39 in a non-facility setting and $30.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $27.34 in Arkansas to $36.53 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/92228-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Ophthalmology, Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $30.39 |
| National facility | $30.39 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $36.53 | $36.53 |
| District of Columbia | $34.48 | $34.48 |
| California | $34.01 | $34.01 |
| New Jersey | $33.42 | $33.42 |
| New York | $33.37 | $33.37 |
| Washington | $33.30 | $33.30 |
| Massachusetts | $32.98 | $32.98 |
| Hawaii | $32.77 | $32.77 |
| Connecticut | $32.23 | $32.23 |
| Colorado | $31.61 | $31.61 |
| Maryland | $31.41 | $31.41 |
| Oregon | $31.33 | $31.33 |
| Rhode Island | $31.16 | $31.16 |
| New Hampshire | $31.11 | $31.11 |
| Florida | $31.09 | $31.09 |
| Puerto Rico | $30.60 | $30.60 |
| Virgin Islands | $30.60 | $30.60 |
| Minnesota | $30.49 | $30.49 |
| Illinois | $30.39 | $30.39 |
| Montana | $30.39 | $30.39 |
| Nevada | $30.30 | $30.30 |
| Wyoming | $30.22 | $30.22 |
| Delaware | $30.15 | $30.15 |
| Pennsylvania | $30.14 | $30.14 |
| Texas | $30.10 | $30.10 |
| North Dakota | $30.00 | $30.00 |
| South Dakota | $29.95 | $29.95 |
| Vermont | $29.87 | $29.87 |
| Virginia | $29.87 | $29.87 |
| Arizona | $29.70 | $29.70 |
| Georgia | $29.65 | $29.65 |
| Michigan | $29.49 | $29.49 |
| Maine | $29.28 | $29.28 |
| Utah | $29.16 | $29.16 |
| Wisconsin | $29.12 | $29.12 |
| New Mexico | $28.92 | $28.92 |
| North Carolina | $28.86 | $28.86 |
| South Carolina | $28.82 | $28.82 |
| Missouri | $28.79 | $28.79 |
| Louisiana | $28.74 | $28.74 |
| Ohio | $28.71 | $28.71 |
| Indiana | $28.64 | $28.64 |
| Idaho | $28.49 | $28.49 |
| Nebraska | $28.49 | $28.49 |
| Iowa | $28.35 | $28.35 |
| Tennessee | $28.32 | $28.32 |
| Kansas | $28.20 | $28.20 |
| Kentucky | $28.19 | $28.19 |
| Oklahoma | $28.17 | $28.17 |
| West Virginia | $28.14 | $28.14 |
| Alabama | $27.68 | $27.68 |
| Mississippi | $27.53 | $27.53 |
| Arkansas | $27.34 | $27.34 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 92228 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules