| CPT |
Description |
Fee |
| 99213 |
Level 3 Established Exam: Office visit for the evaluation and
management of an established patient, which requires a
medically appropriate history and/or examination and a low level
of medical decision making.
|
$90 |
| 99212 |
Level 2 Established Exam: Office visit for the evaluation and
management of an established patient, which requires a
medically appropriate history and/or examination and
straightforward medical decision making.
|
$60 |
| 99203 |
Level 3 New Exam: Office visit for the evaluation and
management of a new patient, which requires a medically
appropriate history and/or examination and a low level of medical
decision making.
|
$130 |
| 99202 |
Level 2 New Exam: Office visit for the evaluation and
management of a new patient, which requires a medically
appropriate history and/or examination and straightforward
medical decision making.
|
$90 |
| 92310 |
CL Services: Prescription of optical and physical characteristics of
and fitting of contact lens, with medical supervision of adaptation.
Pricing varies depending on level on complexity.
|
$60 |
| 92250 |
Fundus Photography: one or more images taken of the retina
(one or both eyes) with a fundus camera, with or without filters. |
$80 |
| 92134 |
OCT Optic Nerve: Scanning computerized ophthalmic diagnostic
imaging of the optic nerve, one or both eyes. Includes
interpretation and report.
|
$60 |
| 92133 |
OCT Retina: Scanning computerized ophthalmic diagnostic
imaging of the retina, one or both eyes. Includes interpretation
and report. |
$60 |
| 92083 |
Diagnostic Visual Fields: Extensive testing of sensitivity of visual
field, one or both eyes. Includes interpretation and report. |
$80 |
| 92081 |
Screening Visual Fields: Limited testing of sensitivity of visual
field, one or both eyes. Includes interpretation and report.
|
$50 |
| 92015 |
Refraction: Determination of any necessary prescription lenses.
Pricing varies depending on age or level of complexity.
|
$30 |
| 92014 |
Established Comprehensive Exam: Comprehensive evaluation
(established patient) of ocular structure and function to detect
ocular diseases and determine if further testing is needed. |
$75 |
| 92012 |
Established Intermediate Exam: Limited evaluation (established
patient) of ocular structure and function to detect ocular diseases
and determine if further testing is needed. |
$75 |
| 92004 |
New Comprehensive Exam: Comprehensive evaluation (new
patient) of ocular structure and function to detect ocular diseases
and determine if further testing is needed.
|
$75 |
| 92002 |
New Intermediate Exam: Limited evaluation (new patient) of
ocular structure and function to detect ocular diseases and
determine if further testing is needed. |
$75 |
| 66984 |
Cataract Post-operative Care: Care after cataract surgery in one
eye that is coordinated between us and your surgeon. Includes up
to 90 days of care after surgery date. |
$150 |
| 66982 |
Complex Cataract Post-operative Care: Care after a complex
cataract surgery in one eye that is coordinated between us and
your surgeon. Includes up to 90 days of care after surgery date. |
$200 |
| 66821 |
YAG Posterior Capsulotomy Post-operative Care: Care after a
YAG laser removal of posterior capsular opacity, coordinated
between us and your surgeon. Includes up to 90 days of care
after surgery.
|
$150 |
| 65222 |
Corneal Foreign Body Removal: In-office surgical procedure to
remove a foreign body that has been identified to be on corneal
tissue.
|
$75 |
| 65205 |
Conjunctival Foreign Body Removal: In-office surgical procedure
to remove a foreign body that has been identified to be on
conjunctival tissue. |
$60 |
