{"procedure":{"code_type":"CPT","code":"92229","lay_name":"Retinal photos with automatic computer analysis","blurb":"Photographs of the back of the eye taken in the office and analyzed immediately by software that screens for retinal disease; covers one or both eyes.","slug":"cpt-92229-retinal-photos-with-automatic-computer-analysis","description":"IMG RTA DETC/MNTR DS POC ALY","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"220","label":"Ophthalmologic and otologic diagnosis and treatment","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T18:10:27.249802Z","filing_date_min":"2025-03-17","filing_date_max":"2026-09-21","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:09:06.388626Z","n_priced_setters":3956,"n_filed":259,"n_usable":254,"n_not_usable":0,"n_labelled":1,"n_no_cash":4,"n_estimated":0,"n_states":36,"cash_p10":56.7,"cash_p20":66.79,"cash_p25":66.79,"cash_p50":85.7,"cash_p75":146.72,"cash_p80":146.72,"cash_p90":180.0,"cash_mean_trimmed":99.01,"gross_p50":150.0,"cash_to_gross_p50":0.6,"medicare_rate":60.27,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.4219,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":38,"p20":137.28,"p50":146.72,"p80":146.72},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":4,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":13,"p20":120.0,"p50":120.0,"p80":120.0},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":10,"p20":54.0,"p50":106.0,"p80":180.0},{"state":"IN","n":13,"p20":154.12,"p50":177.72,"p80":240.2},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":6,"p20":null,"p50":null,"p80":null},{"state":"MA","n":4,"p20":null,"p50":null,"p80":null},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":10,"p20":72.0,"p50":81.12,"p80":166.4},{"state":"MN","n":2,"p20":null,"p50":null,"p80":null},{"state":"MO","n":7,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NH","n":1,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":11,"p20":65.75,"p50":65.8,"p80":69.95},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":22,"p20":70.29,"p50":70.29,"p80":75.6},{"state":"OH","n":15,"p20":71.25,"p50":71.25,"p80":71.25},{"state":"OK","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":6,"p20":null,"p50":null,"p80":null},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"SD","n":5,"p20":null,"p50":null,"p80":null},{"state":"TN","n":1,"p20":null,"p50":null,"p80":null},{"state":"TX","n":29,"p20":66.79,"p50":66.79,"p80":85.7},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WI","n":5,"p20":null,"p50":null,"p80":null},{"state":"WV","n":19,"p20":29.5,"p50":57.0,"p80":68.0},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":222,"p20":66.79,"p50":85.11,"p80":146.72},{"key":"childrens","n":3,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":29,"p20":57.0,"p50":111.6,"p80":195.19}],"ownership":[{"key":"for_profit","n":20,"p20":66.79,"p50":79.76,"p80":170.22},{"key":"government","n":29,"p20":49.35,"p50":70.29,"p80":178.32},{"key":"nonprofit","n":205,"p20":66.79,"p50":91.2,"p80":146.72}],"affiliation":[{"key":"affiliated","n":225,"p20":66.79,"p50":85.7,"p80":146.72},{"key":"independent","n":29,"p20":59.62,"p50":88.12,"p80":178.32}]},"histogram":[{"lo":42.9,"hi":51.15,"n":7},{"lo":51.15,"hi":60.98,"n":18},{"lo":60.98,"hi":72.71,"n":65},{"lo":72.71,"hi":86.69,"n":27},{"lo":86.69,"hi":103.35,"n":7},{"lo":103.35,"hi":123.23,"n":28},{"lo":123.23,"hi":146.92,"n":41},{"lo":146.92,"hi":175.17,"n":13},{"lo":175.17,"hi":208.85,"n":15},{"lo":208.85,"hi":249.0,"n":9}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T18:10:27.249802Z","filing_date_min":"2025-03-17","filing_date_max":"2026-09-15","checked_from":"2026-09-05T02:26:25.308434Z","checked_through":"2026-09-25T01:09:06.388626Z","n_priced_setters":3956,"n_filed":162,"n_usable":156,"n_not_usable":0,"n_labelled":2,"n_no_cash":4,"n_estimated":0,"n_states":23,"cash_p10":59.4,"cash_p20":66.79,"cash_p25":66.79,"cash_p50":111.6,"cash_p75":146.72,"cash_p80":146.72,"cash_p90":180.0,"cash_mean_trimmed":104.81,"gross_p50":150.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"CA","n":37,"p20":137.28,"p50":146.72,"p80":146.72},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":13,"p20":120.0,"p50":120.0,"p80":120.0},{"state":"IL","n":10,"p20":54.0,"p50":106.0,"p80":180.0},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"MA","n":4,"p20":null,"p50":null,"p80":null},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":5,"p20":null,"p50":null,"p80":null},{"state":"MO","n":7,"p20":null,"p50":null,"p80":null},{"state":"NH","n":1,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":6,"p20":null,"p50":null,"p80":null},{"state":"OH","n":14,"p20":71.25,"p50":71.25,"p80":71.25},{"state":"OK","n":3,"p20":null,"p50":null,"p80":null},{"state":"PA","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":29,"p20":66.79,"p50":66.79,"p80":85.7},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WI","n":5,"p20":null,"p50":null,"p80":null},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":142,"p20":66.79,"p50":109.85,"p80":146.72},{"key":"childrens","n":2,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":12,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":12,"p20":null,"p50":null,"p80":null},{"key":"government","n":11,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":133,"p20":66.79,"p50":111.6,"p80":146.72}],"affiliation":[{"key":"affiliated","n":140,"p20":66.79,"p50":111.6,"p80":146.72},{"key":"independent","n":16,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":48.18,"hi":56.82,"n":8},{"lo":56.82,"hi":67.0,"n":28},{"lo":67.0,"hi":79.01,"n":16},{"lo":79.01,"hi":93.18,"n":11},{"lo":93.18,"hi":109.88,"n":6},{"lo":109.88,"hi":129.58,"n":20},{"lo":129.58,"hi":152.81,"n":34},{"lo":152.81,"hi":180.2,"n":12},{"lo":180.2,"hi":212.51,"n":3},{"lo":212.51,"hi":250.6,"n":5}],"previous":null}},"related":[{"code_type":"CPT","code":"92524","lay_name":"Evaluation of voice quality and resonance","slug":"cpt-92524-evaluation-of-voice-quality-and-resonance"},{"code_type":"CPT","code":"70030","lay_name":"X-ray of the eye to look for a foreign object","slug":"cpt-70030-x-ray-of-the-eye-to-look-for-a-foreign-object"},{"code_type":"CPT","code":"92650","lay_name":"Automated newborn hearing screening test","slug":"cpt-92650-automated-newborn-hearing-screening-test"},{"code_type":"CPT","code":"92587","lay_name":"Limited inner ear echo hearing screening","slug":"cpt-92587-limited-inner-ear-echo-hearing-screening"},{"code_type":"CPT","code":"92567","lay_name":"Eardrum pressure and movement test","slug":"cpt-92567-eardrum-pressure-and-movement-test"},{"code_type":"CPT","code":"92552","lay_name":"Hearing threshold test with tones through headphones","slug":"cpt-92552-hearing-threshold-test-with-tones-through-headphones"},{"code_type":"CPT","code":"92551","lay_name":"Hearing screening with tones through headphones","slug":"cpt-92551-hearing-screening-with-tones-through-headphones"},{"code_type":"CPT","code":"92557","lay_name":"Complete hearing test with tones and speech","slug":"cpt-92557-complete-hearing-test-with-tones-and-speech"},{"code_type":"CPT","code":"92652","lay_name":"Brain wave hearing threshold test at several pitches","slug":"cpt-92652-brain-wave-hearing-threshold-test-at-several-pitches"},{"code_type":"CPT","code":"92653","lay_name":"Brain wave test of hearing nerve and brainstem pathways","slug":"cpt-92653-brain-wave-test-of-hearing-nerve-and-brainstem-pathways"},{"code_type":"CPT","code":"92553","lay_name":"Hearing threshold test by headphone and bone vibrator","slug":"cpt-92553-hearing-threshold-test-by-headphone-and-bone-vibrator"},{"code_type":"CPT","code":"92555","lay_name":"Speech hearing threshold test","slug":"cpt-92555-speech-hearing-threshold-test"}]}