1 (918) 794-2020
at Tulsa Hills

 
 
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Current Private Pay (no insurance) Special:


$99.00 Comprehensive Exam

Includes FREE $69 frame (or $69 credit on frame of your choice)

With the purchase of lenses the same day as exam.
         
PP Codes Description Fee
S0620/S0621 Private Pay Comprehensive Exam (Established or New): Comprehensive evaluation of ocular structure and function to detect ocular diseases and determine if further testing is needed. Also, includes: Visual Field Screening, Retinal Photography, Dilation and Refraction at no additional cost. $99.00
S0620/S0621 Plus Soft Spherical or Soft Toric Contact Lense Diagnostic Private Pay Comprehensive Exam (Established or New) Comprehensive evaluation of ocular structure and function to detect ocular diseases and detennine if further testing is needed. Also includes: Visual Field Screening, Retinal Photography, Dilation, and Refraction at no addition cost. Plus Corneal Evaluation for Contact Lens Brand/Base Curve/Diameter/Wear Schedule/Power (Cylinder, Axis, Vertex Adjustment if necessary). $139.00
PPOV Private Pay Office Visit (Established or New) for the evaluation and management which requires a medically appropriate history and/or examination and a straightforward or low level of medical decision making. $50.00


CPT Codes 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. $99.00
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. $59.00
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. $139.00
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. $99.00
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 of complexity. $80.00
92250 Fundus Photography: one or images taken of the retina (one or both eyes) with a fundus camera, with or without filters. $89.00
92134 OCT Optic Nerve: Scanning ophthalmic computerizeddiagnostic imaging of the optic nerve, one or both eyes. Includes interpretation and report. NIA
92133 OCT Retina: Scanning computerized ophthalmic diagnostic imaging of the optic nerve, one or both eyes. Includes interpretation and report. NIA
92083 Diagnostic Visual Fields: Extensive testing of sensitivity of visual field, one or both eyes. Includes interpretation and report. $109.00
92081 Screening Visual Fields: Limited testing of sensitivity of visual field, one or both eyes. Includes interpretation and report. $59.00
92015 Refraction: Detennination of any prescription necessary lenses. Pricing varies depending on age or level of complexity. $20.00
92014 Established Comprehensive Exam: Comprehensive evaluation ( established patient) of ocular structure and function to detect ocular diseases and determine if further testing is needed. $159.00
92012 Established Intermediate Exam: Limited evaluation ( established patient) of ocular structure and function to detect ocular diseases and determine if further testing is needed. $109.00
92004 New Comprehensive Exam: Comprehensive evaluation (new patient) of ocular structure and function to detect ocular diseases and determine if further testing is needed. $189.00
92002 New Intermediate Exam: Limited evaluation (new patient) of ocular structure and function to detect ocular diseases and determine if further testing is needed. $109.00
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. $220.00
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. $220.00
66821 YAG Posterior Capsulotomy Post-Operative Care: Care after a Y AG laser removal of posterior capsular opacity, coordinated between us and your surgeon. Includes up to 90 days of care after surgery. $59.00
65222 Corneal Foreign Body Removal: In-office surgical procedure to remove a foreign body that has been identified to be on corneal tissue. $109.00
65202 Conjunctival Foreign Body Removal: In-office surgical procedure to remove a foreign body that has been identified to be on conjunctival tissue. $79.00
         
   
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"We believe in old fashioned personal service with state of the art equipment."
  1 (918) 794-2020
  Dr. Jeff Long's
Children & Family Eye Care

316 West 71st St S
Tulsa, Oklahoma 74132


Eye Exams | Eye Care | Eye Wear
 
Mon - Fri: 8:00 am - 6:00 pm
Sat: 8:00 am - 5:00 pm
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Copyright © 2012 Dr. Jeff Long’s Children and Family Eye Care, All Rights Reserved.