CONTACT LENS FITTING 92313 CORNEOSCLERAL LENS 60.03 FITTING FOR GLASSES FITTING, SPECTACLES EXCEPT FOR APHAKIA, MONOFOCAL 26.53 CONTACT LENS SERVICES (for treatment of eye disease only) LENS SOFT ONE EYE 125.00 – LENS HARD ONE EYE 150.00 – OFFICE VISIT - MEDICAL 99201 INITIAL OFFICE VISIT EXAM 26.80 – 99202 INITIAL OFFICE VISIT - EXAM 46.53 99203 INITIAL OFFICE - EXAM 67.37 99204 LEVEL IV MEDICAL EXAM; NEW PATIENT 104.69 99205 GENERAL MEDICAL HEMOGLOBIN & URINALYSIS 132.41 – OFFICE VISIT ESTABLISHED PATIENT – 99211 LEVEL I FOLLOW UP; ESTABLISHED PATIENT 13.52 LEVEL II FOLLOWUP; ESTABLSHED PATIENT 27.05 LEVEL III FOLLOWUP; ESTABLISHED PATIENT 45.37 LEVEL V FOLLOWUP; ESTABLSIHED PATIENT 68.36 99215 LEVEL V FOLLOWUP; ESTABLISHED PATIENT 92.44 INITIAL CONSULTATION 99241 INITIAL OFFICE CONSULTATION 35.45 99242 INITIAL OFFICE CONSULTATION 66.48 99243 INITIAL OFFICE CONSULTATION 91.48 INITIAL OFFICE CONSULTATION 136.16 CPT CODE DESCRIPTION OF SERVICE FEE
CONTACT LENS FITTING 92313 CORNEOSCLERAL LENS 60.03 FITTING FOR GLASSES FITTING, SPECTACLES EXCEPT FOR APHAKIA, MONOFOCAL 26.53 CONTACT LENS SERVICES (for treatment of eye disease only) LENS SOFT – ONE EYE 125.00 LENS HARD – ONE EYE 150.00 OFFICE VISIT - MEDICAL 99201 INITIAL OFFICE VISIT – EXAM 26.80 99202 INITIAL OFFICE VISIT - EXAM 46.53 99203 INITIAL OFFICE - EXAM 67.37 99204 LEVEL IV MEDICAL EXAM; NEW PATIENT 104.69 99205 GENERAL MEDICAL – HEMOGLOBIN & URINALYSIS 132.41 OFFICE VISIT – ESTABLISHED PATIENT 99211 LEVEL I FOLLOW UP; ESTABLISHED PATIENT 13.52 LEVEL II FOLLOWUP; ESTABLSHED PATIENT 27.05 LEVEL III FOLLOWUP; ESTABLISHED PATIENT 45.37 LEVEL V FOLLOWUP; ESTABLSIHED PATIENT 68.36 99215 LEVEL V FOLLOWUP; ESTABLISHED PATIENT 92.44 INITIAL CONSULTATION 99241 INITIAL OFFICE CONSULTATION 35.45 99242 INITIAL OFFICE CONSULTATION 66.48 99243 INITIAL OFFICE CONSULTATION 91.48 INITIAL OFFICE CONSULTATION 136.16 CPT CODE DESCRIPTION OF SERVICE FEE
CPT%20CODE%20LIST%202014-2015.docx