| Code | Description | Price | Price Type | Last Updated |
|---|---|---|---|---|
| 99211 | VISIT ESTABLISHED LEVEL 1 * | $563 [source] | โ | 4 years ago |
| 99212 | VISIT ESTABLISHED LEVEL 2 * | $495 [source] | โ | 4 years ago |
| 99213 | VISIT ESTABLISHED LEVEL 3 * | $696 [source] | โ | 4 years ago |
| V2632 | Posterior chamber intraocular lens * | $19,282 [source] | โ | 4 years ago |