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CPT Prices

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. $75

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. $45

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. $100

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. $75

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. $65

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. $40

92133 OCT Retina: Scanning computerized ophthalmic diagnostic imaging of the retina, one 
or both eyes. Includes interpretation and report. $40

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. $20

92014
Established Comprehensive Exam: Comprehensive evaluation (established patient) of 
ocular structure and function to detect ocular diseases and determine if further 
testing is needed. $110

92012
Established Intermediate Exam: Limited evaluation (established patient) of ocular 
structure and function to detect ocular diseases and determine if further testing is 
needed. $90

92004
New Comprehensive Exam: Comprehensive evaluation (new patient) of ocular 
structure and function to detect ocular diseases and determine if further testing is 
needed. $110

92002 New Intermediate Exam: Limited evaluation (new patient) of ocular structure and 
function to detect ocular diseases and determine if further testing is needed. $90

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. $140

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. $140

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. $70

65222 Corneal Foreign Body Removal: In-office surgical procedure to remove a foreign body 
that has been identified to be on corneal tissue. $75
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65205 Conjunctival Foreign Body Removal: In-office surgical procedure to remove a foreign 
body that has been identified to be on conjunctival tissue. $75