| 27G
ENDOLASER PROBE (IRIDEX) |
| AQUEOUS SHUNT TO EXTRAOCULAR
RESERVOIR (RVS: 66180) |
| ARGON LASER |
| ARGON LASER – ONE EYE
(PRP,FLT) |
| AUTOMATED REFRACTION |
| BIOMETRY |
| CENTRAL CORNEAL THICKNESS –
BOTH EYES |
| CENTRAL CORNEAL THICKNESS –
BOTH EYES. |
| CENTRAL CORNEAL THICKNESS –
ONE EYE |
| DIGITAL FUNDUSCOPY |
| DILATED FUNDUS EXAM –
DOCTOR’S PF |
| DILATION/SAC |
| ENDODIATHERMY PENCIL
(MULTIPLE USE) – PARAMOUNT |
| ENDODIATHERMY PROBE (SINGLE
USE) – ALCON |
| ENDOLASER PROBE (MULTIPLE
USE) – PARAMOUNT |
| ENDOLASER PROBE (SINGLE USE)
– PARAMOUNT |
| ENDOLASER PROBE (SINGLE)
IRIDEX |
| EYE CENTER SERVICES |
| FUNDUS PHOTO – 1 EYE |
| FUNDUS PHOTO – 2 EYES |
| FUNDUS PHOTO – READER’S FEE |
| FUNDUS PHOTO PLUS (FP+CCT)
BOTH EYES |
| FUNDUS PHOTO PLUS (FP+CCT)
ONE EYE |
| GLAUCOMA PACKAGE
(OCT+PERIMETRY)- BOTH EYES |
| GLAUCOMA PACKAGE
(OCT+PERIMETRY)- ONE EYE |
| GLAUCOMA PACKAGE PLUS
(OCT+AVF+FP) BOTH EYES |
| GLAUCOMA PACKAGE PLUS
(OCT+AVF+FP+CCT) BOTH EYES |
| GLAUCOMA PACKAGE PLUS
(OCT+AVF+FP+CCT) ONE EYE |
| MICROSCOPE FEE |
| ND : YAG LASER CAPSULOTOMY –
BOTH EYES |
| ND : YAG LASER CAPSULOTOMY –
ONE EYE |
| ND : YAG LASER IRIDOTOMY – 1
EYE |
| ND : YAG LASER IRIDOTOMY –
ONE EYE |
| OCT BOTH EYES |
| OPTICAL COHERENCE TOMOGRAPHY
– BOTH EYES |
| OPTICAL COHERENCE TOMOGRAPHY
– ONE EYE |
| PERIMETRY/AUTOMATED VISUAL
FIELDS – BOTH EYES |
| PERIMETRY/AUTOMATED VISUAL
FIELDS – ONE EYE |
| PHACO MACHINE CASETTE |
| RELEASE OF SCLERAL FLAP
SUTURE BY LASER SUTURE LYSIS |
| REMOVAL OF FOREGN BODY W/
SLIT LAMP |
| SILICONE OIL INJECTION |
| SLIT LAMP EXAM, INTRAOCULAR
PRESSURE, DILATED FUNDUS EXAM (PF) |
| USE OF BIOM |
| USE OF ENDOLASER (ARGON)
MACHINE |
| USE OF FLUORESCEIN
ANGIOGRAPHY |
| USE OF INDIRECT
OPHTHALMOSCOPE |
| USE OF OPHTHALMIC MEDS |
| VISUAL ACUITY |
