COVENANT EYE CARE, PA· GASTONIA, NC

Physician group

2555 COURT DRIVE, SUITE 150, GASTONIA, NC 28054

Procedures offered

913 total

Procedure	Min	Avg	Max
Initial hospital care high complexity CPT 99223 • Office Visits	$169	$183	$198
Subsequent hospital care low complexity CPT 99231 • Office Visits	$35	$82	$129
Subsequent hospital care moderate complexity CPT 99232 • Office Visits	$62	$95	$129
Subsequent hospital care high complexity CPT 99233 • Office Visits	$89	$109	$129
Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits	$63	$96	$129
Hospital discharge day management more than 30 min CPT 99239 • Office Visits	$92	$110	$129
Consultation office low complexity CPT 99243 • Office Visits	$116	$116	$116
Consultation office high complexity CPT 99245 • Office Visits	$178	$178	$178
Blepharoplasty upper eyelid CPT 15823 • Ophthalmology	$641	$641	$641
Foreign body removal external eye corneal CPT 65210 • Ophthalmology	$54	$54	$54
Corneal transplant endothelial CPT 65756 • Ophthalmology	$1,130	$1,191	$1,251
Trabeculoplasty laser surgery CPT 65855 • Ophthalmology	$353	$353	$353
Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology	$1,170	$1,170	$1,170
Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology	$621	$621	$621
Iridotomy laser surgery CPT 66761 • Ophthalmology	$453	$453	$453
Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology	$1,077	$1,077	$1,077
Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology	$521	$645	$769
Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology	$224	$224	$224
Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology	$1,610	$1,610	$1,610
Retinal photocoagulation treatment CPT 67210 • Ophthalmology	$667	$667	$667
Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology	$969	$969	$969
Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology	$594	$594	$594
Excision chalazion single CPT 67800 • Ophthalmology	$130	$130	$130
Blepharoptosis repair levator resection CPT 67901 • Ophthalmology	$613	$613	$613
Lacrimal punctum closure by plug CPT 68761 • Ophthalmology	$155	$155	$155
Eye exam new patient intermediate CPT 92002 • Ophthalmology	$21	$21	$21
Eye exam new patient comprehensive CPT 92004 • Ophthalmology	$40	$40	$40
Eye exam established patient intermediate CPT 92012 • Ophthalmology	$17	$17	$17
Eye exam established patient comprehensive CPT 92014 • Ophthalmology	$43	$43	$43
Visual field examination CPT 92083 • Ophthalmology	$34	$34	$34
Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology	$8	$23	$39
Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology	$13	$13	$13
Fundus photography CPT 92250 • Ophthalmology	$11	$11	$11
Arthrocentesis aspiration small joint CPT 20600 • Orthopedics	$45	$48	$51
Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics	$53	$59	$64
Arthrocentesis aspiration major joint CPT 20610 • Orthopedics	$55	$59	$63
Cervical spine fusion anterior approach CPT 22551 • Orthopedics	$1,654	$1,938	$2,221
Lumbar spine fusion posterior approach CPT 22612 • Orthopedics	$1,734	$1,734	$1,734
Lumbar spine fusion combined approach CPT 22633 • Orthopedics	$2,394	$2,394	$2,394
Total shoulder replacement CPT 23472 • Orthopedics	$1,674	$1,674	$1,674
Reverse total shoulder replacement CPT 23473 • Orthopedics	$2,133	$2,133	$2,133
Lateral epicondylitis open treatment CPT 24357 • Orthopedics	$412	$442	$473
Closed treatment distal radial fracture CPT 25600 • Orthopedics	$301	$301	$301
Tendon sheath incision trigger finger CPT 26055 • Orthopedics	$312	$446	$581
Total hip replacement CPT 27130 • Orthopedics	$1,254	$1,423	$1,592
Hip replacement conversion to total CPT 27132 • Orthopedics	$1,868	$1,868	$1,868
Open treatment femoral fracture CPT 27236 • Orthopedics	$1,298	$1,298	$1,298
Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics	$1,287	$1,287	$1,287
Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics	$1,580	$1,580	$1,580
Partial knee replacement medial or lateral CPT 27446 • Orthopedics	$1,249	$1,249	$1,249