Reports
E03
Centre ISEC Mid Valley This month · 1 Oct – 5 Oct 2026
Revenue by Service
511| SMILE (OU) | Package · Package · PKG-E13 | 03/10/2026 | 3 | 0.00 | 19,623.00 | 19,623.00 | 19,623.00 |
| Phaco + Trifocal IOL | Package · Package · PKG-E04 | 01/10/2026 | 2 | 0.00 | 18,374.00 | 18,374.00 | 18,374.00 |
| Vitrectomy (23G) | Package · Package · PKG-E20 | 02/10/2026 | 2 | 0.00 | 17,346.00 | 19,273.34 | 17,346.00 |
| Phaco + EDOF IOL | Package · Package · PKG-E03 | 01/10/2026 | 2 | 0.00 | 14,406.00 | 14,406.00 | 14,406.00 |
| Femto-LASIK (OU) | Package · Package · PKG-E12 | 01/10/2026 | 3 | 0.00 | 13,890.00 | 13,890.00 | 13,890.00 |
| ICL Implantation (per eye) | Package · Package · PKG-E14 | 02/10/2026 | 2 | 0.00 | 13,524.00 | 13,524.00 | 13,524.00 |
| SMILE (OU) | Package · Package · PKG-E13 | 02/10/2026 | 2 | 0.00 | 13,082.00 | 13,082.00 | 13,082.00 |
| Phaco + Toric IOL | Package · Package · PKG-E02 | 01/10/2026 | 2 | 0.00 | 12,348.00 | 12,348.00 | 12,348.00 |
| Intravitreal Injection (excl. drug) | Package · Package · PKG-E05 | 01/10/2026 | 16 | 0.00 | 10,400.00 | 11,049.98 | 10,400.00 |
| Femto-LASIK (OU) | Package · Package · PKG-E12 | 02/10/2026 | 2 | 0.00 | 9,260.00 | 9,260.00 | 9,260.00 |
| Phaco + Trifocal IOL | Package · Package · PKG-E04 | 02/10/2026 | 1 | 0.00 | 9,187.00 | 9,187.00 | 9,187.00 |
| Phaco + Trifocal IOL | Package · Package · PKG-E04 | 01/10/2026 | 1 | 0.00 | 9,187.00 | 9,187.00 | 9,187.00 |
| Vitrectomy (23G) | Package · Package · PKG-E20 | 03/10/2026 | 1 | 0.00 | 8,673.00 | 9,636.67 | 8,673.00 |
| Vitrectomy (23G) | Package · Package · PKG-E20 | 01/10/2026 | 1 | 0.00 | 8,673.00 | 8,673.00 | 8,673.00 |
| Phaco + Standard IOL | Package · Package · PKG-E01 | 02/10/2026 | 2 | 0.00 | 8,672.00 | 9,635.56 | 8,672.00 |
| Phaco + Standard IOL | Package · Package · PKG-E01 | 01/10/2026 | 2 | 0.00 | 8,672.00 | 9,635.56 | 8,672.00 |
| Phaco + Standard IOL | Package · Package · PKG-E01 | 01/10/2026 | 2 | 0.00 | 8,672.00 | 8,672.00 | 8,672.00 |
| Phaco + Toric IOL (sub-Tenon block) · OD | Package · Package · PKG-E02 | 05/10/2026 | 1 | 0.00 | 8,400.00 | 8,400.00 | 8,400.00 |
| Phaco + Toric IOL · Topical (LA) · OD | Package · Package · PKG-E02 | 05/10/2026 | 1 | 0.00 | 8,400.00 | 8,400.00 | 8,400.00 |
| Intravitreal Injection (excl. drug) | Package · Package · PKG-E05 | 02/10/2026 | 12 | 0.00 | 7,800.00 | 8,161.10 | 7,800.00 |
| Phaco + EDOF IOL | Package · Package · PKG-E03 | 02/10/2026 | 1 | 0.00 | 7,203.00 | 8,003.33 | 7,203.00 |
| Intravitreal Injection (excl. drug) | Package · Package · PKG-E05 | 01/10/2026 | 11 | 0.00 | 7,150.00 | 7,655.54 | 7,150.00 |
| SMILE (OU) | Package · Package · PKG-E13 | 01/10/2026 | 1 | 0.00 | 6,541.00 | 6,541.00 | 6,541.00 |
| Phaco + Toric IOL | Package · Package · PKG-E02 | 02/10/2026 | 1 | 0.00 | 6,174.00 | 6,174.00 | 6,174.00 |
| Phaco + Toric IOL | Package · Package · PKG-E02 | 02/10/2026 | 1 | 0.00 | 6,174.00 | 6,860.00 | 6,174.00 |
| Intravitreal Injection (excl. drug) | Package · Package · PKG-E05 | 02/10/2026 | 9 | 0.00 | 5,850.00 | 6,283.32 | 5,850.00 |
| Squint Surgery | Package · Package · PKG-E07 | 01/10/2026 | 1 | 0.00 | 4,998.00 | 5,553.33 | 4,998.00 |
| Femto-LASIK (OU) | Package · Package · PKG-E12 | 03/10/2026 | 1 | 0.00 | 4,630.00 | 4,630.00 | 4,630.00 |
| Phaco + Standard IOL | Package · Package · PKG-E01 | 05/10/2026 | 1 | 4,336.00 | 0.00 | 4,817.78 | 4,336.00 |
| Phaco + Standard IOL | Package · Package · PKG-E01 | 05/10/2026 | 1 | 4,336.00 | 0.00 | 4,817.78 | 4,336.00 |
| Phaco + Standard IOL | Package · Package · PKG-E01 | 03/10/2026 | 1 | 0.00 | 4,336.00 | 4,817.78 | 4,336.00 |
| Phaco + Standard IOL | Package · Package · PKG-E01 | 03/10/2026 | 1 | 0.00 | 4,336.00 | 4,817.78 | 4,336.00 |
| Phaco + Standard IOL | Package · Package · PKG-E01 | 02/10/2026 | 1 | 0.00 | 4,336.00 | 4,817.78 | 4,336.00 |
| Surgeon fee - Dr. Chan Jan Bond - in PKG-E13 | Package · Professional fees · OTS-022 | 03/10/2026 | 2 | 0.00 | 3,916.00 | 3,916.00 | 3,916.00 |
| ECCE + Standard IOL | Package · Package · PKG-E10 | 02/10/2026 | 1 | 0.00 | 3,712.00 | 3,712.00 | 3,712.00 |
| Intravitreal Injection (excl. drug) | Package · Package · PKG-E05 | 03/10/2026 | 5 | 0.00 | 3,250.00 | 3,394.44 | 3,250.00 |
| Surgeon fee - Dr. Chan Jan Bond - in PKG-E12 | Package · Professional fees · OTS-022 | 01/10/2026 | 2 | 0.00 | 2,772.00 | 2,772.00 | 2,772.00 |
| Surgeon fee - Datin Dr. Teoh Su Lin - in PKG-E04 | Package · Professional fees · OTS-001 | 02/10/2026 | 1 | 0.00 | 2,750.00 | 2,750.00 | 2,750.00 |
| Surgeon fee - Dr. Gan Eng Hui - in PKG-E04 | Package · Professional fees · OTS-001 | 01/10/2026 | 1 | 0.00 | 2,750.00 | 2,750.00 | 2,750.00 |
| Surgeon fee - Dr. Seow Shu Yee - in PKG-E04 | Package · Professional fees · OTS-001 | 01/10/2026 | 1 | 0.00 | 2,750.00 | 2,750.00 | 2,750.00 |
| Surgeon fee - Dr. Nicholas Goh Ee Pian - in PKG-E04 | Package · Professional fees · OTS-001 | 01/10/2026 | 1 | 0.00 | 2,750.00 | 2,750.00 | 2,750.00 |
| Intravitreal Injection (excl. drug) | Package · Package · PKG-E05 | 03/10/2026 | 4 | 0.00 | 2,600.00 | 2,672.22 | 2,600.00 |
| Intravitreal Injection (excl. drug) | Package · Package · PKG-E05 | 01/10/2026 | 4 | 0.00 | 2,600.00 | 2,744.44 | 2,600.00 |
| Surgeon fee - Dr. Ronald Arun Das - in PKG-E20 | Package · Professional fees · OTS-008 | 03/10/2026 | 1 | 0.00 | 2,596.00 | 2,884.44 | 2,596.00 |
| Surgeon fee - Dr. Nor Ismarudi Ismail - in PKG-E20 | Package · Professional fees · OTS-008 | 02/10/2026 | 1 | 0.00 | 2,596.00 | 2,884.44 | 2,596.00 |
| Surgeon fee - Dr. Wong Jun Shyan - in PKG-E20 | Package · Professional fees · OTS-008 | 02/10/2026 | 1 | 0.00 | 2,596.00 | 2,884.44 | 2,596.00 |
| Surgeon fee - Dr. Nor Ismarudi Ismail - in PKG-E20 | Package · Professional fees · OTS-008 | 01/10/2026 | 1 | 0.00 | 2,596.00 | 2,596.00 | 2,596.00 |
| Surgeon fee - Dr. Gan Eng Hui - in PKG-E01 | Package · Professional fees · OTS-001 | 01/10/2026 | 2 | 0.00 | 2,596.00 | 2,884.44 | 2,596.00 |
| Pterygium Excision + Autograft | Package · Package · PKG-E06 | 02/10/2026 | 1 | 0.00 | 2,496.00 | 2,773.33 | 2,496.00 |
| Pterygium Excision + Autograft | Package · Package · PKG-E06 | 02/10/2026 | 1 | 0.00 | 2,496.00 | 2,496.00 | 2,496.00 |
| Pterygium Excision + Autograft | Package · Package · PKG-E06 | 01/10/2026 | 1 | 0.00 | 2,496.00 | 2,773.33 | 2,496.00 |
| Pterygium Excision + Autograft | Package · Package · PKG-E06 | 01/10/2026 | 1 | 0.00 | 2,496.00 | 2,496.00 | 2,496.00 |
| Surgeon fee - Datin Dr. Teoh Su Lin - in PKG-E03 | Package · Professional fees · OTS-001 | 02/10/2026 | 1 | 0.00 | 2,156.00 | 2,395.56 | 2,156.00 |
| Surgeon fee - Dr. Seow Shu Yee - in PKG-E03 | Package · Professional fees · OTS-001 | 01/10/2026 | 1 | 0.00 | 2,156.00 | 2,156.00 | 2,156.00 |
| Surgeon fee - Dr. Nicholas Goh Ee Pian - in PKG-E03 | Package · Professional fees · OTS-001 | 01/10/2026 | 1 | 0.00 | 2,156.00 | 2,156.00 | 2,156.00 |
| Surgeon fee - Dr. Michael S. H. Law - in PKG-E14 | Package · Professional fees · OTS-022 | 02/10/2026 | 1 | 0.00 | 2,024.00 | 2,024.00 | 2,024.00 |
| Surgeon fee - Dr. Chan Jan Bond - in PKG-E14 | Package · Professional fees · OTS-022 | 02/10/2026 | 1 | 0.00 | 2,024.00 | 2,024.00 | 2,024.00 |
| Surgeon fee - Dr. Michael S. H. Law - in PKG-E13 | Package · Professional fees · OTS-022 | 03/10/2026 | 1 | 0.00 | 1,958.00 | 1,958.00 | 1,958.00 |
| Surgeon fee - Dr. Michael S. H. Law - in PKG-E13 | Package · Professional fees · OTS-022 | 02/10/2026 | 1 | 0.00 | 1,958.00 | 1,958.00 | 1,958.00 |
| Surgeon fee - Dr. Chan Jan Bond - in PKG-E13 | Package · Professional fees · OTS-022 | 02/10/2026 | 1 | 0.00 | 1,958.00 | 1,958.00 | 1,958.00 |
| Surgeon fee - Dr. Chan Jan Bond - in PKG-E13 | Package · Professional fees · OTS-022 | 01/10/2026 | 1 | 0.00 | 1,958.00 | 1,958.00 | 1,958.00 |
| Intravitreal Injection (excl. drug) | Package · Package · PKG-E05 | 05/10/2026 | 3 | 1,950.00 | 0.00 | 2,022.22 | 1,950.00 |
| Surgeon fee - Dr. Fang Seng Kheong - in PKG-E02 | Package · Professional fees · OTS-001 | 02/10/2026 | 1 | 0.00 | 1,848.00 | 1,848.00 | 1,848.00 |
| Surgeon fee - Datin Dr. Teoh Su Lin - in PKG-E02 | Package · Professional fees · OTS-001 | 02/10/2026 | 1 | 0.00 | 1,848.00 | 2,053.33 | 1,848.00 |
| Surgeon fee - Dr. Seow Shu Yee - in PKG-E02 | Package · Professional fees · OTS-001 | 01/10/2026 | 1 | 0.00 | 1,848.00 | 1,848.00 | 1,848.00 |
| Surgeon fee - Dr. Nicholas Goh Ee Pian - in PKG-E02 | Package · Professional fees · OTS-001 | 01/10/2026 | 1 | 0.00 | 1,848.00 | 1,848.00 | 1,848.00 |
| Chalazion / Lid Surgery | Package · Package · PKG-E21 | 01/10/2026 | 2 | 0.00 | 1,716.00 | 1,716.00 | 1,716.00 |
| Surgeon fee - Dr. Choong Yee Fong - in PKG-E07 | Package · Professional fees · OTS-010 | 01/10/2026 | 1 | 0.00 | 1,496.00 | 1,662.22 | 1,496.00 |
| Surgeon fee - Dr. Chan Jan Bond - in PKG-E12 | Package · Professional fees · OTS-022 | 03/10/2026 | 1 | 0.00 | 1,386.00 | 1,386.00 | 1,386.00 |
| Surgeon fee - Dr. Michael S. H. Law - in PKG-E12 | Package · Professional fees · OTS-022 | 02/10/2026 | 1 | 0.00 | 1,386.00 | 1,386.00 | 1,386.00 |
| Surgeon fee - Dr. Chan Jan Bond - in PKG-E12 | Package · Professional fees · OTS-022 | 02/10/2026 | 1 | 0.00 | 1,386.00 | 1,386.00 | 1,386.00 |
| Surgeon fee - Dr. Michael S. H. Law - in PKG-E12 | Package · Professional fees · OTS-022 | 01/10/2026 | 1 | 0.00 | 1,386.00 | 1,386.00 | 1,386.00 |
| Intravitreal Injection (excl. drug) | Package · Package · PKG-E05 | 05/10/2026 | 2 | 1,300.00 | 0.00 | 1,444.44 | 1,300.00 |
| Intravitreal Injection (excl. drug) | Package · Package · PKG-E05 | 02/10/2026 | 2 | 0.00 | 1,300.00 | 1,300.00 | 1,300.00 |
| Surgeon fee - Dr. Nicholas Goh Ee Pian - in PKG-E01 | Package · Professional fees · OTS-001 | 05/10/2026 | 1 | 1,298.00 | 0.00 | 1,442.22 | 1,298.00 |
| Surgeon fee - Dr. Kok Howe Sen - in PKG-E01 | Package · Professional fees · OTS-001 | 05/10/2026 | 1 | 1,298.00 | 0.00 | 1,442.22 | 1,298.00 |
| Surgeon fee - Dr. Ho Whye Onn - in PKG-E01 | Package · Professional fees · OTS-001 | 03/10/2026 | 1 | 0.00 | 1,298.00 | 1,442.22 | 1,298.00 |
| Surgeon fee - Dr. Nicholas Goh Ee Pian - in PKG-E01 | Package · Professional fees · OTS-001 | 03/10/2026 | 1 | 0.00 | 1,298.00 | 1,442.22 | 1,298.00 |
| Surgeon fee - Dr. Nicholas Goh Ee Pian - in PKG-E01 | Package · Professional fees · OTS-001 | 02/10/2026 | 1 | 0.00 | 1,298.00 | 1,442.22 | 1,298.00 |
| Surgeon fee - Dr. Fang Seng Kheong - in PKG-E01 | Package · Professional fees · OTS-001 | 02/10/2026 | 1 | 0.00 | 1,298.00 | 1,442.22 | 1,298.00 |
| Surgeon fee - Datin Dr. Teoh Su Lin - in PKG-E01 | Package · Professional fees · OTS-001 | 02/10/2026 | 1 | 0.00 | 1,298.00 | 1,442.22 | 1,298.00 |
| Surgeon fee - Dr. Seow Shu Yee - in PKG-E01 | Package · Professional fees · OTS-001 | 01/10/2026 | 1 | 0.00 | 1,298.00 | 1,298.00 | 1,298.00 |
| Surgeon fee - Dr. Nicholas Goh Ee Pian - in PKG-E01 | Package · Professional fees · OTS-001 | 01/10/2026 | 1 | 0.00 | 1,298.00 | 1,298.00 | 1,298.00 |
| Anaesthetist fee - in PKG-E13 | Package · Professional fees · OTA-022 | 03/10/2026 | 3 | 0.00 | 1,203.00 | 1,203.00 | 1,203.00 |
| Anaesthetist fee - in PKG-E04 | Package · Professional fees · OTA-001 | 01/10/2026 | 2 | 0.00 | 1,126.00 | 1,126.00 | 1,126.00 |
| Surgeon fee - Datin Dr. Teoh Su Lin - in PKG-E10 | Package · Professional fees · OTS-002 | 02/10/2026 | 1 | 0.00 | 1,111.00 | 1,111.00 | 1,111.00 |
| Anaesthetist fee - in PKG-E20 | Package · Professional fees · OTA-008 | 02/10/2026 | 2 | 0.00 | 1,062.00 | 1,180.00 | 1,062.00 |
| Anaesthetist fee - in PKG-E03 | Package · Professional fees · OTA-001 | 01/10/2026 | 2 | 0.00 | 882.00 | 882.00 | 882.00 |
| Chalazion / Lid Surgery | Package · Package · PKG-E21 | 03/10/2026 | 1 | 0.00 | 858.00 | 858.00 | 858.00 |
| Chalazion / Lid Surgery | Package · Package · PKG-E21 | 02/10/2026 | 1 | 0.00 | 858.00 | 953.33 | 858.00 |
| Anaesthetist fee - in PKG-E12 | Package · Professional fees · OTA-022 | 01/10/2026 | 3 | 0.00 | 852.00 | 852.00 | 852.00 |
| Anaesthetist fee - in PKG-E14 | Package · Professional fees · OTA-022 | 02/10/2026 | 2 | 0.00 | 828.00 | 828.00 | 828.00 |
| Anaesthetist fee - in PKG-E13 | Package · Professional fees · OTA-022 | 02/10/2026 | 2 | 0.00 | 802.00 | 802.00 | 802.00 |
| Anaesthetist fee - in PKG-E02 | Package · Professional fees · OTA-001 | 01/10/2026 | 2 | 0.00 | 756.00 | 756.00 | 756.00 |
| Surgeon fee - Dr. Ho Whye Onn - in PKG-E06 | Package · Professional fees · OTS-005 | 02/10/2026 | 1 | 0.00 | 704.00 | 782.22 | 704.00 |
| Surgeon fee - Dr. Seow Shu Yee - in PKG-E06 | Package · Professional fees · OTS-005 | 02/10/2026 | 1 | 0.00 | 704.00 | 704.00 | 704.00 |
| Surgeon fee - Dr. Then Kong Yong - in PKG-E06 | Package · Professional fees · OTS-005 | 01/10/2026 | 1 | 0.00 | 704.00 | 782.22 | 704.00 |
| Surgeon fee - Dr. Nicholas Goh Ee Pian - in PKG-E06 | Package · Professional fees · OTS-005 | 01/10/2026 | 1 | 0.00 | 704.00 | 704.00 | 704.00 |
| Intravitreal Injection (excl. drug) | Package · Package · PKG-E05 | 05/10/2026 | 1 | 650.00 | 0.00 | 722.22 | 650.00 |
| Intravitreal Injection (excl. drug) | Package · Package · PKG-E05 | 03/10/2026 | 1 | 0.00 | 650.00 | 650.00 | 650.00 |
| Minor Ocular Procedure | Package · Package · PKG-E23 | 02/10/2026 | 1 | 0.00 | 585.00 | 585.00 | 585.00 |
| Minor Ocular Procedure | Package · Package · PKG-E23 | 01/10/2026 | 1 | 0.00 | 585.00 | 585.00 | 585.00 |
| Anaesthetist fee - in PKG-E12 | Package · Professional fees · OTA-022 | 02/10/2026 | 2 | 0.00 | 568.00 | 568.00 | 568.00 |
| Anaesthetist fee - in PKG-E04 | Package · Professional fees · OTA-001 | 02/10/2026 | 1 | 0.00 | 563.00 | 563.00 | 563.00 |
| Anaesthetist fee - in PKG-E04 | Package · Professional fees · OTA-001 | 01/10/2026 | 1 | 0.00 | 563.00 | 563.00 | 563.00 |
| Anaesthetist fee - in PKG-E01 | Package · Professional fees · OTA-001 | 02/10/2026 | 2 | 0.00 | 532.00 | 591.12 | 532.00 |
| Anaesthetist fee - in PKG-E01 | Package · Professional fees · OTA-001 | 01/10/2026 | 2 | 0.00 | 532.00 | 591.12 | 532.00 |
| Anaesthetist fee - in PKG-E01 | Package · Professional fees · OTA-001 | 01/10/2026 | 2 | 0.00 | 532.00 | 532.00 | 532.00 |
| Anaesthetist fee - in PKG-E20 | Package · Professional fees · OTA-008 | 03/10/2026 | 1 | 0.00 | 531.00 | 590.00 | 531.00 |
| Anaesthetist fee - in PKG-E20 | Package · Professional fees · OTA-008 | 01/10/2026 | 1 | 0.00 | 531.00 | 531.00 | 531.00 |
| Surgeon fee - Dr. Kamala Devi Lingam - in PKG-E21 | Package · Professional fees · OTS-006 | 01/10/2026 | 2 | 0.00 | 484.00 | 484.00 | 484.00 |
| Anaesthetist fee - in PKG-E03 | Package · Professional fees · OTA-001 | 02/10/2026 | 1 | 0.00 | 441.00 | 490.00 | 441.00 |
| Anaesthetist fee - in PKG-E13 | Package · Professional fees · OTA-022 | 01/10/2026 | 1 | 0.00 | 401.00 | 401.00 | 401.00 |
| Anaesthetist fee - in PKG-E02 | Package · Professional fees · OTA-001 | 02/10/2026 | 1 | 0.00 | 378.00 | 378.00 | 378.00 |
| Anaesthetist fee - in PKG-E02 | Package · Professional fees · OTA-001 | 02/10/2026 | 1 | 0.00 | 378.00 | 420.00 | 378.00 |
| Anaesthetist fee - in PKG-E07 | Package · Professional fees · OTA-010 | 01/10/2026 | 1 | 0.00 | 306.00 | 340.00 | 306.00 |
| Anaesthetist fee - in PKG-E12 | Package · Professional fees · OTA-022 | 03/10/2026 | 1 | 0.00 | 284.00 | 284.00 | 284.00 |
| Anaesthetist fee - in PKG-E01 | Package · Professional fees · OTA-001 | 05/10/2026 | 1 | 266.00 | 0.00 | 295.56 | 266.00 |
| Anaesthetist fee - in PKG-E01 | Package · Professional fees · OTA-001 | 05/10/2026 | 1 | 266.00 | 0.00 | 295.56 | 266.00 |
| Anaesthetist fee - in PKG-E01 | Package · Professional fees · OTA-001 | 03/10/2026 | 1 | 0.00 | 266.00 | 295.56 | 266.00 |
| Anaesthetist fee - in PKG-E01 | Package · Professional fees · OTA-001 | 03/10/2026 | 1 | 0.00 | 266.00 | 295.56 | 266.00 |
| Anaesthetist fee - in PKG-E01 | Package · Professional fees · OTA-001 | 02/10/2026 | 1 | 0.00 | 266.00 | 295.56 | 266.00 |
| Surgeon fee - Dr. Kamala Devi Lingam - in PKG-E21 | Package · Professional fees · OTS-006 | 03/10/2026 | 1 | 0.00 | 242.00 | 242.00 | 242.00 |
| Surgeon fee - Dr. Kamala Devi Lingam - in PKG-E21 | Package · Professional fees · OTS-006 | 02/10/2026 | 1 | 0.00 | 242.00 | 268.89 | 242.00 |
| Anaesthetist fee - in PKG-E10 | Package · Professional fees · OTA-002 | 02/10/2026 | 1 | 0.00 | 227.00 | 227.00 | 227.00 |
| Surgeon fee - Datin Dr. Teoh Su Lin - in PKG-E23 | Package · Professional fees · OTS-006 | 02/10/2026 | 1 | 0.00 | 165.00 | 165.00 | 165.00 |
| Surgeon fee - Dr. Seow Shu Yee - in PKG-E23 | Package · Professional fees · OTS-006 | 01/10/2026 | 1 | 0.00 | 165.00 | 165.00 | 165.00 |
| Aflibercept intravitreal | Pharmacy · Pharmacy · PHM-IVT | 01/10/2026 | 6 | 0.00 | 7,500.00 | 7,916.67 | 7,500.00 |
| Dexamethasone implant intravitreal | Pharmacy · Pharmacy · PHM-IVT | 02/10/2026 | 5 | 0.00 | 7,250.00 | 7,894.44 | 7,250.00 |
| Ranibizumab intravitreal | Pharmacy · Pharmacy · PHM-IVT | 02/10/2026 | 7 | 0.00 | 6,020.00 | 6,306.68 | 6,020.00 |
| Aflibercept intravitreal | Pharmacy · Pharmacy · PHM-IVT | 02/10/2026 | 4 | 0.00 | 5,000.00 | 5,277.78 | 5,000.00 |
| Faricimab intravitreal | Pharmacy · Pharmacy · PHM-IVT | 01/10/2026 | 3 | 0.00 | 4,800.00 | 5,155.56 | 4,800.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 01/10/2026 | 12 | 296.00 | 4,254.00 | 4,632.49 | 4,550.00 |
| Ranibizumab intravitreal | Pharmacy · Pharmacy · PHM-IVT | 01/10/2026 | 5 | 0.00 | 4,300.00 | 4,491.12 | 4,300.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 01/10/2026 | 45 | 507.00 | 3,697.00 | 4,423.88 | 4,204.00 |
| Aflibercept intravitreal | Pharmacy · Pharmacy · PHM-IVT | 03/10/2026 | 3 | 0.00 | 3,750.00 | 3,888.89 | 3,750.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 01/10/2026 | 9 | 752.00 | 2,676.00 | 3,497.68 | 3,428.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 02/10/2026 | 9 | 0.00 | 3,254.00 | 3,311.23 | 3,254.00 |
| Faricimab intravitreal | Pharmacy · Pharmacy · PHM-IVT | 03/10/2026 | 2 | 0.00 | 3,200.00 | 3,377.78 | 3,200.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 02/10/2026 | 6 | 0.00 | 2,692.00 | 2,733.06 | 2,692.00 |
| Aflibercept intravitreal | Pharmacy · Pharmacy · PHM-IVT | 05/10/2026 | 2 | 2,500.00 | 0.00 | 2,638.89 | 2,500.00 |
| Aflibercept intravitreal | Pharmacy · Pharmacy · PHM-IVT | 01/10/2026 | 2 | 0.00 | 2,500.00 | 2,500.00 | 2,500.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 01/10/2026 | 5 | 0.00 | 2,405.00 | 2,522.65 | 2,405.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 02/10/2026 | 29 | 52.00 | 2,217.00 | 2,373.15 | 2,269.00 |
| Bevacizumab (biosimilar) intravitreal | Pharmacy · Pharmacy · PHM-IVT | 01/10/2026 | 5 | 0.00 | 2,100.00 | 2,286.68 | 2,100.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 03/10/2026 | 5 | 0.00 | 2,060.00 | 2,098.05 | 2,060.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 02/10/2026 | 27 | 242.00 | 1,773.00 | 2,081.65 | 2,015.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 01/10/2026 | 23 | 267.00 | 1,743.00 | 2,052.37 | 2,010.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 03/10/2026 | 23 | 528.00 | 1,336.00 | 1,932.63 | 1,864.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 02/10/2026 | 26 | 0.00 | 1,858.00 | 1,929.81 | 1,858.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 02/10/2026 | 5 | 298.00 | 1,476.00 | 1,830.07 | 1,774.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 05/10/2026 | 4 | 1,723.00 | 0.00 | 1,809.32 | 1,723.00 |
| Ranibizumab intravitreal | Pharmacy · Pharmacy · PHM-IVT | 02/10/2026 | 2 | 0.00 | 1,720.00 | 1,815.56 | 1,720.00 |
| Ranibizumab intravitreal | Pharmacy · Pharmacy · PHM-IVT | 01/10/2026 | 2 | 0.00 | 1,720.00 | 1,815.56 | 1,720.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 01/10/2026 | 19 | 185.00 | 1,504.00 | 1,757.25 | 1,689.00 |
| Faricimab intravitreal | Pharmacy · Pharmacy · PHM-IVT | 02/10/2026 | 1 | 0.00 | 1,600.00 | 1,600.00 | 1,600.00 |
| Faricimab intravitreal | Pharmacy · Pharmacy · PHM-IVT | 02/10/2026 | 1 | 0.00 | 1,600.00 | 1,600.00 | 1,600.00 |
| Faricimab intravitreal | Pharmacy · Pharmacy · PHM-IVT | 02/10/2026 | 1 | 0.00 | 1,600.00 | 1,777.78 | 1,600.00 |
| Faricimab intravitreal | Pharmacy · Pharmacy · PHM-IVT | 01/10/2026 | 1 | 0.00 | 1,600.00 | 1,600.00 | 1,600.00 |
| Faricimab intravitreal | Pharmacy · Pharmacy · PHM-IVT | 01/10/2026 | 1 | 0.00 | 1,600.00 | 1,777.78 | 1,600.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 03/10/2026 | 3 | 533.00 | 1,007.00 | 1,661.77 | 1,540.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 02/10/2026 | 4 | 0.00 | 1,521.00 | 1,610.45 | 1,521.00 |
| Dexamethasone implant intravitreal | Pharmacy · Pharmacy · PHM-IVT | 03/10/2026 | 1 | 0.00 | 1,450.00 | 1,611.11 | 1,450.00 |
| Dexamethasone implant intravitreal | Pharmacy · Pharmacy · PHM-IVT | 01/10/2026 | 1 | 0.00 | 1,450.00 | 1,611.11 | 1,450.00 |
| Dexamethasone implant intravitreal | Pharmacy · Pharmacy · PHM-IVT | 01/10/2026 | 1 | 0.00 | 1,450.00 | 1,611.11 | 1,450.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 01/10/2026 | 15 | 46.00 | 1,311.00 | 1,439.47 | 1,357.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 05/10/2026 | 3 | 1,259.00 | 0.00 | 1,300.28 | 1,259.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 05/10/2026 | 3 | 1,255.00 | 0.00 | 1,315.16 | 1,255.00 |
| Aflibercept intravitreal | Pharmacy · Pharmacy · PHM-IVT | 03/10/2026 | 1 | 0.00 | 1,250.00 | 1,250.00 | 1,250.00 |
| Aflibercept intravitreal | Pharmacy · Pharmacy · PHM-IVT | 03/10/2026 | 1 | 0.00 | 1,250.00 | 1,250.00 | 1,250.00 |
| Aflibercept intravitreal | Pharmacy · Pharmacy · PHM-IVT | 02/10/2026 | 1 | 0.00 | 1,250.00 | 1,250.00 | 1,250.00 |
| Aflibercept intravitreal | Pharmacy · Pharmacy · PHM-IVT | 01/10/2026 | 1 | 0.00 | 1,250.00 | 1,388.89 | 1,250.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 03/10/2026 | 3 | 0.00 | 1,229.00 | 1,279.52 | 1,229.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 01/10/2026 | 3 | 0.00 | 1,224.00 | 1,286.54 | 1,224.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 02/10/2026 | 3 | 235.00 | 889.00 | 1,171.27 | 1,124.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 02/10/2026 | 14 | 0.00 | 1,115.00 | 1,168.23 | 1,115.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 03/10/2026 | 15 | 0.00 | 1,080.00 | 1,113.32 | 1,080.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 01/10/2026 | 2 | 0.00 | 1,078.00 | 1,197.91 | 1,078.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 01/10/2026 | 13 | 0.00 | 1,029.00 | 1,063.02 | 1,029.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 03/10/2026 | 3 | 0.00 | 1,005.00 | 1,075.29 | 1,005.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 03/10/2026 | 2 | 0.00 | 971.00 | 971.00 | 971.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 02/10/2026 | 11 | 0.00 | 953.00 | 956.23 | 953.00 |
| Ranibizumab intravitreal | Pharmacy · Pharmacy · PHM-IVT | 05/10/2026 | 1 | 860.00 | 0.00 | 955.56 | 860.00 |
| Ranibizumab intravitreal | Pharmacy · Pharmacy · PHM-IVT | 03/10/2026 | 1 | 0.00 | 860.00 | 860.00 | 860.00 |
| Ranibizumab intravitreal | Pharmacy · Pharmacy · PHM-IVT | 01/10/2026 | 1 | 0.00 | 860.00 | 955.56 | 860.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 02/10/2026 | 2 | 454.00 | 396.00 | 900.02 | 850.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 02/10/2026 | 10 | 85.00 | 754.00 | 850.86 | 839.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 01/10/2026 | 2 | 0.00 | 828.00 | 865.51 | 828.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 01/10/2026 | 2 | 0.00 | 820.00 | 848.63 | 820.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 01/10/2026 | 10 | 130.00 | 677.00 | 824.87 | 807.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 03/10/2026 | 8 | 29.00 | 640.00 | 675.77 | 669.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 03/10/2026 | 5 | 69.00 | 534.00 | 646.35 | 603.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 01/10/2026 | 7 | 153.00 | 393.00 | 587.53 | 546.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 02/10/2026 | 7 | 150.00 | 379.00 | 535.96 | 529.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 03/10/2026 | 1 | 0.00 | 520.00 | 578.29 | 520.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 05/10/2026 | 3 | 514.00 | 0.00 | 553.04 | 514.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 05/10/2026 | 7 | 512.00 | 0.00 | 523.24 | 512.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 05/10/2026 | 9 | 506.00 | 0.00 | 533.59 | 506.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 05/10/2026 | 6 | 467.00 | 0.00 | 467.00 | 467.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 05/10/2026 | 5 | 444.00 | 0.00 | 452.93 | 444.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 05/10/2026 | 6 | 429.00 | 0.00 | 444.82 | 429.00 |
| Bevacizumab (biosimilar) intravitreal | Pharmacy · Pharmacy · PHM-IVT | 05/10/2026 | 1 | 420.00 | 0.00 | 466.67 | 420.00 |
| Bevacizumab (biosimilar) intravitreal | Pharmacy · Pharmacy · PHM-IVT | 05/10/2026 | 1 | 420.00 | 0.00 | 466.67 | 420.00 |
| Bevacizumab (biosimilar) intravitreal | Pharmacy · Pharmacy · PHM-IVT | 05/10/2026 | 1 | 420.00 | 0.00 | 420.00 | 420.00 |
| Bevacizumab (biosimilar) intravitreal | Pharmacy · Pharmacy · PHM-IVT | 03/10/2026 | 1 | 0.00 | 420.00 | 420.00 | 420.00 |
| Bevacizumab (biosimilar) intravitreal | Pharmacy · Pharmacy · PHM-IVT | 02/10/2026 | 1 | 0.00 | 420.00 | 420.00 | 420.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 02/10/2026 | 1 | 0.00 | 420.00 | 420.00 | 420.00 |
| Bevacizumab (biosimilar) intravitreal | Pharmacy · Pharmacy · PHM-IVT | 01/10/2026 | 1 | 0.00 | 420.00 | 466.67 | 420.00 |
| Bevacizumab (biosimilar) intravitreal | Pharmacy · Pharmacy · PHM-IVT | 01/10/2026 | 1 | 0.00 | 420.00 | 420.00 | 420.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 03/10/2026 | 7 | 44.00 | 372.00 | 446.34 | 416.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 03/10/2026 | 6 | 44.00 | 357.00 | 428.18 | 401.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 02/10/2026 | 1 | 0.00 | 391.00 | 391.00 | 391.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 03/10/2026 | 3 | 0.00 | 357.00 | 381.67 | 357.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 03/10/2026 | 1 | 0.00 | 282.00 | 313.14 | 282.00 |
| Optical - spectacles / lenses | Pharmacy · Optical · OPT-SPC | 05/10/2026 | 1 | 275.00 | 0.00 | 305.69 | 275.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 01/10/2026 | 4 | 0.00 | 266.00 | 279.14 | 266.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 03/10/2026 | 3 | 0.00 | 242.00 | 253.68 | 242.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 05/10/2026 | 4 | 232.00 | 0.00 | 235.63 | 232.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 02/10/2026 | 3 | 0.00 | 203.00 | 212.50 | 203.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 05/10/2026 | 3 | 172.00 | 0.00 | 172.00 | 172.00 |
| Pharmacy - eye medicines | Pharmacy · Pharmacy · PHM-RX | 05/10/2026 | 2 | 84.00 | 0.00 | 93.40 | 84.00 |
| Carboxymethylcellulose 0.5% 10ml Eye drops | Pharmacy · Pharmacy · PHM-0102 | 05/10/2026 | 2 | 36.80 | 0.00 | 36.80 | 36.80 |
| Dispensing fee (1 item) | Pharmacy · Pharmacy · AUT-DISP | 05/10/2026 | 1 | 6.00 | 0.00 | 6.00 | 6.00 |
| YAG laser capsulotomy | Procedure · Procedure · EYE-LAS-YAG | 02/10/2026 | 10 | 0.00 | 4,500.00 | 4,650.00 | 4,500.00 |
| Selective laser trabeculoplasty | Procedure · Procedure · EYE-LAS-SLT | 02/10/2026 | 9 | 0.00 | 4,050.00 | 4,200.00 | 4,050.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 01/10/2026 | 24 | 0.00 | 3,600.00 | 3,716.94 | 3,600.00 |
| Selective laser trabeculoplasty | Procedure · Procedure · EYE-LAS-SLT | 01/10/2026 | 7 | 0.00 | 3,150.00 | 3,450.00 | 3,150.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 02/10/2026 | 20 | 0.00 | 3,000.00 | 3,134.40 | 3,000.00 |
| YAG laser capsulotomy | Procedure · Procedure · EYE-LAS-YAG | 01/10/2026 | 6 | 0.00 | 2,700.00 | 2,800.00 | 2,700.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 02/10/2026 | 16 | 0.00 | 2,400.00 | 2,483.96 | 2,400.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 02/10/2026 | 15 | 0.00 | 2,250.00 | 2,367.55 | 2,250.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 01/10/2026 | 57 | 0.00 | 1,995.00 | 2,085.78 | 1,995.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 01/10/2026 | 13 | 0.00 | 1,950.00 | 2,016.96 | 1,950.00 |
| YAG laser capsulotomy | Procedure · Procedure · EYE-LAS-YAG | 05/10/2026 | 4 | 1,800.00 | 0.00 | 1,850.00 | 1,800.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 03/10/2026 | 12 | 0.00 | 1,800.00 | 1,800.00 | 1,800.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 01/10/2026 | 12 | 0.00 | 1,800.00 | 1,867.27 | 1,800.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 05/10/2026 | 10 | 1,500.00 | 0.00 | 1,566.89 | 1,500.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 02/10/2026 | 10 | 0.00 | 1,500.00 | 1,566.52 | 1,500.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 01/10/2026 | 10 | 0.00 | 1,500.00 | 1,583.85 | 1,500.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 02/10/2026 | 41 | 0.00 | 1,435.00 | 1,489.99 | 1,435.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 02/10/2026 | 40 | 0.00 | 1,400.00 | 1,475.19 | 1,400.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 05/10/2026 | 9 | 1,350.00 | 0.00 | 1,383.26 | 1,350.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 05/10/2026 | 9 | 1,350.00 | 0.00 | 1,400.38 | 1,350.00 |
| YAG laser capsulotomy | Procedure · Procedure · EYE-LAS-YAG | 03/10/2026 | 3 | 0.00 | 1,350.00 | 1,400.00 | 1,350.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 03/10/2026 | 9 | 0.00 | 1,350.00 | 1,417.37 | 1,350.00 |
| YAG laser capsulotomy | Procedure · Procedure · EYE-LAS-YAG | 02/10/2026 | 3 | 0.00 | 1,350.00 | 1,450.00 | 1,350.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 02/10/2026 | 38 | 0.00 | 1,330.00 | 1,377.39 | 1,330.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 01/10/2026 | 36 | 0.00 | 1,260.00 | 1,291.54 | 1,260.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 02/10/2026 | 8 | 0.00 | 1,200.00 | 1,216.72 | 1,200.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 01/10/2026 | 30 | 0.00 | 1,050.00 | 1,085.40 | 1,050.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 01/10/2026 | 7 | 0.00 | 1,050.00 | 1,116.86 | 1,050.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 03/10/2026 | 27 | 0.00 | 945.00 | 972.51 | 945.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 05/10/2026 | 6 | 900.00 | 0.00 | 949.93 | 900.00 |
| Selective laser trabeculoplasty | Procedure · Procedure · EYE-LAS-SLT | 03/10/2026 | 2 | 0.00 | 900.00 | 950.00 | 900.00 |
| YAG laser capsulotomy | Procedure · Procedure · EYE-LAS-YAG | 02/10/2026 | 2 | 0.00 | 900.00 | 900.00 | 900.00 |
| YAG laser capsulotomy | Procedure · Procedure · EYE-LAS-YAG | 01/10/2026 | 2 | 0.00 | 900.00 | 1,000.00 | 900.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 01/10/2026 | 6 | 0.00 | 900.00 | 916.67 | 900.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 03/10/2026 | 23 | 0.00 | 805.00 | 832.32 | 805.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 01/10/2026 | 23 | 0.00 | 805.00 | 832.79 | 805.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 02/10/2026 | 22 | 0.00 | 770.00 | 808.99 | 770.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 01/10/2026 | 22 | 0.00 | 770.00 | 809.22 | 770.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 02/10/2026 | 5 | 0.00 | 750.00 | 750.00 | 750.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 01/10/2026 | 5 | 0.00 | 750.00 | 800.40 | 750.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 02/10/2026 | 9 | 0.00 | 720.00 | 756.06 | 720.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 02/10/2026 | 12 | 0.00 | 720.00 | 753.62 | 720.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 05/10/2026 | 4 | 600.00 | 0.00 | 616.52 | 600.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 03/10/2026 | 4 | 0.00 | 600.00 | 633.63 | 600.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 03/10/2026 | 4 | 0.00 | 600.00 | 600.00 | 600.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 02/10/2026 | 4 | 0.00 | 600.00 | 616.67 | 600.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 01/10/2026 | 10 | 0.00 | 600.00 | 613.47 | 600.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 01/10/2026 | 10 | 0.00 | 600.00 | 613.44 | 600.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 02/10/2026 | 15 | 0.00 | 525.00 | 532.76 | 525.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 01/10/2026 | 15 | 0.00 | 525.00 | 541.00 | 525.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 02/10/2026 | 14 | 0.00 | 490.00 | 505.76 | 490.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 05/10/2026 | 8 | 480.00 | 0.00 | 486.63 | 480.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 02/10/2026 | 8 | 0.00 | 480.00 | 513.52 | 480.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 02/10/2026 | 6 | 0.00 | 480.00 | 488.92 | 480.00 |
| Selective laser trabeculoplasty | Procedure · Procedure · EYE-LAS-SLT | 05/10/2026 | 1 | 450.00 | 0.00 | 450.00 | 450.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 05/10/2026 | 3 | 450.00 | 0.00 | 466.67 | 450.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 05/10/2026 | 3 | 450.00 | 0.00 | 466.52 | 450.00 |
| YAG laser capsulotomy | Procedure · Procedure · EYE-LAS-YAG | 03/10/2026 | 1 | 0.00 | 450.00 | 450.00 | 450.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 03/10/2026 | 3 | 0.00 | 450.00 | 466.74 | 450.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 05/10/2026 | 12 | 420.00 | 0.00 | 431.62 | 420.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 05/10/2026 | 12 | 420.00 | 0.00 | 443.35 | 420.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 05/10/2026 | 7 | 420.00 | 0.00 | 426.75 | 420.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 02/10/2026 | 5 | 0.00 | 400.00 | 417.80 | 400.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 01/10/2026 | 5 | 0.00 | 400.00 | 409.04 | 400.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 05/10/2026 | 11 | 385.00 | 0.00 | 396.72 | 385.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 03/10/2026 | 11 | 0.00 | 385.00 | 400.80 | 385.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 01/10/2026 | 11 | 0.00 | 385.00 | 400.90 | 385.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 05/10/2026 | 6 | 360.00 | 0.00 | 379.98 | 360.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 05/10/2026 | 10 | 350.00 | 0.00 | 369.43 | 350.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 02/10/2026 | 4 | 0.00 | 320.00 | 337.97 | 320.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 01/10/2026 | 4 | 0.00 | 320.00 | 346.93 | 320.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 01/10/2026 | 4 | 0.00 | 320.00 | 328.83 | 320.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 02/10/2026 | 9 | 0.00 | 315.00 | 323.09 | 315.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 05/10/2026 | 2 | 300.00 | 0.00 | 316.89 | 300.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 03/10/2026 | 2 | 0.00 | 300.00 | 316.84 | 300.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 03/10/2026 | 2 | 0.00 | 300.00 | 300.00 | 300.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 02/10/2026 | 5 | 0.00 | 300.00 | 320.02 | 300.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 02/10/2026 | 5 | 0.00 | 300.00 | 306.67 | 300.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 02/10/2026 | 2 | 0.00 | 300.00 | 300.00 | 300.00 |
| OCT macula and optic nerve | Procedure · Optometry · AUT-OCT | 01/10/2026 | 2 | 0.00 | 300.00 | 316.92 | 300.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 01/10/2026 | 5 | 0.00 | 300.00 | 313.40 | 300.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 01/10/2026 | 5 | 0.00 | 300.00 | 306.66 | 300.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 03/10/2026 | 8 | 0.00 | 280.00 | 283.89 | 280.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 03/10/2026 | 8 | 0.00 | 280.00 | 295.42 | 280.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 03/10/2026 | 7 | 0.00 | 245.00 | 252.78 | 245.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 05/10/2026 | 4 | 240.00 | 0.00 | 260.14 | 240.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 05/10/2026 | 3 | 240.00 | 0.00 | 240.00 | 240.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 03/10/2026 | 3 | 0.00 | 240.00 | 248.84 | 240.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 03/10/2026 | 4 | 0.00 | 240.00 | 253.26 | 240.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 03/10/2026 | 3 | 0.00 | 240.00 | 240.00 | 240.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 02/10/2026 | 4 | 0.00 | 240.00 | 240.00 | 240.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 01/10/2026 | 4 | 0.00 | 240.00 | 246.68 | 240.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 01/10/2026 | 4 | 0.00 | 240.00 | 246.67 | 240.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 01/10/2026 | 4 | 0.00 | 240.00 | 260.34 | 240.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 01/10/2026 | 3 | 0.00 | 240.00 | 248.91 | 240.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 05/10/2026 | 6 | 210.00 | 0.00 | 221.68 | 210.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 02/10/2026 | 6 | 0.00 | 210.00 | 213.87 | 210.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 01/10/2026 | 6 | 0.00 | 210.00 | 213.90 | 210.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 03/10/2026 | 3 | 0.00 | 180.00 | 180.00 | 180.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 03/10/2026 | 3 | 0.00 | 180.00 | 186.79 | 180.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 03/10/2026 | 3 | 0.00 | 180.00 | 186.67 | 180.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 02/10/2026 | 3 | 0.00 | 180.00 | 180.00 | 180.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 05/10/2026 | 5 | 175.00 | 0.00 | 178.85 | 175.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 03/10/2026 | 5 | 0.00 | 175.00 | 186.71 | 175.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 05/10/2026 | 2 | 160.00 | 0.00 | 160.00 | 160.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 05/10/2026 | 2 | 160.00 | 0.00 | 160.00 | 160.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 03/10/2026 | 2 | 0.00 | 160.00 | 160.00 | 160.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 02/10/2026 | 2 | 0.00 | 160.00 | 160.00 | 160.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 02/10/2026 | 2 | 0.00 | 160.00 | 160.00 | 160.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 01/10/2026 | 2 | 0.00 | 160.00 | 160.00 | 160.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 05/10/2026 | 4 | 140.00 | 0.00 | 143.89 | 140.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 05/10/2026 | 2 | 120.00 | 0.00 | 126.67 | 120.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 03/10/2026 | 2 | 0.00 | 120.00 | 120.00 | 120.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 03/10/2026 | 2 | 0.00 | 120.00 | 126.70 | 120.00 |
| Corneal Topography (Bausch + Lomb Orbscan IIz, OU) | Procedure · Procedure · EYE-TOP-0000 | 05/10/2026 | 1 | 108.00 | 0.00 | 120.00 | 108.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 03/10/2026 | 3 | 0.00 | 105.00 | 108.90 | 105.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 05/10/2026 | 1 | 80.00 | 0.00 | 80.00 | 80.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 05/10/2026 | 1 | 80.00 | 0.00 | 80.00 | 80.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 03/10/2026 | 1 | 0.00 | 80.00 | 80.00 | 80.00 |
| Visual field (Humphrey 24-2) | Procedure · Optometry · AUT-VF | 02/10/2026 | 1 | 0.00 | 80.00 | 88.79 | 80.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 05/10/2026 | 2 | 70.00 | 0.00 | 73.91 | 70.00 |
| Optometry work-up (VA, refraction, IOP) | Procedure · Optometry · AUT-OPT | 05/10/2026 | 2 | 63.00 | 0.00 | 70.00 | 63.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 05/10/2026 | 1 | 60.00 | 0.00 | 60.00 | 60.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 05/10/2026 | 1 | 60.00 | 0.00 | 60.00 | 60.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 03/10/2026 | 1 | 0.00 | 60.00 | 66.73 | 60.00 |
| Fundus imaging (Optos) | Procedure · Procedure · EYE-FPH-0024 | 02/10/2026 | 1 | 0.00 | 60.00 | 60.00 | 60.00 |
| Optometry work-up (VA, IOP, slit lamp) | Procedure · Optometry · AUT-OPT | 05/10/2026 | 1 | 35.00 | 0.00 | 35.00 | 35.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 04/10/2026 | 1 | 0.00 | 35.00 | 35.00 | 35.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 04/10/2026 | 1 | 0.00 | 35.00 | 35.00 | 35.00 |
| Optometry work-up (VA) | Procedure · Optometry · AUT-OPT | 04/10/2026 | 1 | 0.00 | 35.00 | 35.00 | 35.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 01/10/2026 | 52 | 350.00 | 3,290.00 | 3,813.59 | 3,640.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 01/10/2026 | 20 | 360.00 | 2,040.00 | 2,494.23 | 2,400.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 02/10/2026 | 34 | 140.00 | 2,240.00 | 2,474.37 | 2,380.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 02/10/2026 | 32 | 210.00 | 2,030.00 | 2,334.59 | 2,240.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 02/10/2026 | 31 | 140.00 | 2,030.00 | 2,312.61 | 2,170.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 01/10/2026 | 18 | 240.00 | 1,920.00 | 2,240.58 | 2,160.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 01/10/2026 | 25 | 350.00 | 1,400.00 | 1,805.24 | 1,750.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 05/10/2026 | 14 | 1,680.00 | 0.00 | 1,719.83 | 1,680.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 05/10/2026 | 14 | 1,680.00 | 0.00 | 1,773.56 | 1,680.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 02/10/2026 | 14 | 0.00 | 1,680.00 | 1,706.87 | 1,680.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 05/10/2026 | 13 | 1,560.00 | 0.00 | 1,640.20 | 1,560.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 05/10/2026 | 13 | 1,560.00 | 0.00 | 1,613.79 | 1,560.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 02/10/2026 | 13 | 120.00 | 1,440.00 | 1,600.05 | 1,560.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 01/10/2026 | 22 | 70.00 | 1,470.00 | 1,603.28 | 1,540.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 03/10/2026 | 21 | 280.00 | 1,190.00 | 1,524.94 | 1,470.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 03/10/2026 | 12 | 240.00 | 1,200.00 | 1,479.98 | 1,440.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 03/10/2026 | 20 | 0.00 | 1,400.00 | 1,446.84 | 1,400.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 01/10/2026 | 20 | 70.00 | 1,330.00 | 1,447.78 | 1,400.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 02/10/2026 | 10 | 0.00 | 1,200.00 | 1,253.35 | 1,200.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 01/10/2026 | 9 | 0.00 | 1,080.00 | 1,133.35 | 1,080.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 02/10/2026 | 15 | 70.00 | 980.00 | 1,096.90 | 1,050.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 01/10/2026 | 15 | 140.00 | 910.00 | 1,113.19 | 1,050.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 01/10/2026 | 14 | 70.00 | 910.00 | 1,027.53 | 980.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 02/10/2026 | 8 | 0.00 | 960.00 | 1,026.57 | 960.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 01/10/2026 | 8 | 0.00 | 960.00 | 986.54 | 960.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 02/10/2026 | 13 | 210.00 | 700.00 | 933.73 | 910.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 02/10/2026 | 12 | 70.00 | 770.00 | 847.71 | 840.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 01/10/2026 | 12 | 140.00 | 700.00 | 887.16 | 840.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 05/10/2026 | 6 | 720.00 | 0.00 | 733.21 | 720.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 05/10/2026 | 6 | 720.00 | 0.00 | 760.07 | 720.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 01/10/2026 | 6 | 0.00 | 720.00 | 746.70 | 720.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 03/10/2026 | 9 | 0.00 | 630.00 | 653.88 | 630.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 02/10/2026 | 5 | 0.00 | 600.00 | 613.37 | 600.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 03/10/2026 | 8 | 140.00 | 420.00 | 591.07 | 560.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 03/10/2026 | 8 | 70.00 | 490.00 | 575.36 | 560.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 02/10/2026 | 7 | 70.00 | 420.00 | 506.18 | 490.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 05/10/2026 | 4 | 480.00 | 0.00 | 493.33 | 480.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 03/10/2026 | 4 | 0.00 | 480.00 | 506.92 | 480.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 03/10/2026 | 4 | 120.00 | 360.00 | 520.38 | 480.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 02/10/2026 | 4 | 0.00 | 480.00 | 493.33 | 480.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 01/10/2026 | 4 | 0.00 | 480.00 | 480.00 | 480.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 03/10/2026 | 6 | 70.00 | 350.00 | 427.86 | 420.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 05/10/2026 | 3 | 360.00 | 0.00 | 386.91 | 360.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 03/10/2026 | 3 | 0.00 | 360.00 | 373.33 | 360.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 03/10/2026 | 3 | 120.00 | 240.00 | 373.24 | 360.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 03/10/2026 | 3 | 0.00 | 360.00 | 360.00 | 360.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 02/10/2026 | 3 | 0.00 | 360.00 | 360.00 | 360.00 |
| Emergency eye consultation | Consultation · Consultation · CON-0201 | 01/10/2026 | 2 | 0.00 | 360.00 | 360.00 | 360.00 |
| Emergency eye consultation | Consultation · Consultation · CON-0201 | 01/10/2026 | 2 | 0.00 | 360.00 | 360.00 | 360.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 01/10/2026 | 3 | 0.00 | 360.00 | 387.12 | 360.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 01/10/2026 | 5 | 0.00 | 350.00 | 357.80 | 350.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 03/10/2026 | 4 | 0.00 | 280.00 | 295.57 | 280.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 02/10/2026 | 2 | 0.00 | 240.00 | 240.00 | 240.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 01/10/2026 | 2 | 0.00 | 240.00 | 253.54 | 240.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 02/10/2026 | 3 | 0.00 | 210.00 | 217.73 | 210.00 |
| Emergency eye consultation | Consultation · Consultation · CON-0201 | 05/10/2026 | 1 | 180.00 | 0.00 | 180.00 | 180.00 |
| Emergency eye consultation | Consultation · Consultation · CON-0201 | 05/10/2026 | 1 | 180.00 | 0.00 | 180.00 | 180.00 |
| Emergency eye consultation | Consultation · Consultation · CON-0201 | 04/10/2026 | 1 | 0.00 | 180.00 | 180.00 | 180.00 |
| Emergency eye consultation | Consultation · Consultation · CON-0201 | 04/10/2026 | 1 | 0.00 | 180.00 | 180.00 | 180.00 |
| Emergency eye consultation | Consultation · Consultation · CON-0201 | 04/10/2026 | 1 | 0.00 | 180.00 | 180.00 | 180.00 |
| Emergency eye consultation | Consultation · Consultation · CON-0201 | 03/10/2026 | 1 | 0.00 | 180.00 | 180.00 | 180.00 |
| Emergency eye consultation | Consultation · Consultation · CON-0201 | 02/10/2026 | 1 | 0.00 | 180.00 | 180.00 | 180.00 |
| Emergency eye consultation | Consultation · Consultation · CON-0201 | 02/10/2026 | 1 | 0.00 | 180.00 | 180.00 | 180.00 |
| Emergency eye consultation | Consultation · Consultation · CON-0201 | 02/10/2026 | 1 | 0.00 | 180.00 | 180.00 | 180.00 |
| Emergency eye consultation | Consultation · Consultation · CON-0201 | 01/10/2026 | 1 | 0.00 | 180.00 | 180.00 | 180.00 |
| Consultation — Follow Up | Consultation · Consultation · CON-0103 | 05/10/2026 | 2 | 140.00 | 0.00 | 140.00 | 140.00 |
| Consultation - Follow Up | Consultation · Consultation · CON-0114 | 03/10/2026 | 2 | 0.00 | 140.00 | 140.00 | 140.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 03/10/2026 | 1 | 0.00 | 120.00 | 133.47 | 120.00 |
| Consultation - New Case | Consultation · Consultation · CON-0113 | 03/10/2026 | 1 | 0.00 | 120.00 | 133.35 | 120.00 |
| Consultation · Package visit · Post-op review (OD) | Consultation · Consultation · CHG-2610-2033 | 05/10/2026 | 1 | 0.00 | 0.00 | 0.00 | 0.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 01/10/2026 | 9 | 0.00 | 1,620.00 | 1,620.00 | 1,620.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 02/10/2026 | 7 | 0.00 | 1,260.00 | 1,340.00 | 1,260.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 02/10/2026 | 6 | 0.00 | 1,080.00 | 1,080.00 | 1,080.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 03/10/2026 | 4 | 0.00 | 720.00 | 720.00 | 720.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 01/10/2026 | 4 | 0.00 | 720.00 | 720.00 | 720.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 01/10/2026 | 3 | 0.00 | 540.00 | 580.00 | 540.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 02/10/2026 | 2 | 0.00 | 360.00 | 400.00 | 360.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 02/10/2026 | 2 | 0.00 | 360.00 | 380.00 | 360.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 05/10/2026 | 1 | 180.00 | 0.00 | 200.00 | 180.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 05/10/2026 | 1 | 180.00 | 0.00 | 200.00 | 180.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 03/10/2026 | 1 | 0.00 | 180.00 | 200.00 | 180.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 03/10/2026 | 1 | 0.00 | 180.00 | 200.00 | 180.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 03/10/2026 | 1 | 0.00 | 180.00 | 200.00 | 180.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 02/10/2026 | 1 | 0.00 | 180.00 | 200.00 | 180.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 01/10/2026 | 1 | 0.00 | 180.00 | 200.00 | 180.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 01/10/2026 | 1 | 0.00 | 180.00 | 200.00 | 180.00 |
| Day-care bed and recovery | Ward · Day care · WRD-DC | 01/10/2026 | 1 | 0.00 | 180.00 | 180.00 | 180.00 |
| Registration fee | Administration · Administration · AUT-REG | 01/10/2026 | 20 | 75.00 | 425.00 | 519.63 | 500.00 |
| Registration fee | Administration · Administration · AUT-REG | 01/10/2026 | 18 | 50.00 | 400.00 | 466.79 | 450.00 |
| Registration fee | Administration · Administration · AUT-REG | 05/10/2026 | 14 | 350.00 | 0.00 | 358.30 | 350.00 |
| Registration fee | Administration · Administration · AUT-REG | 05/10/2026 | 14 | 350.00 | 0.00 | 369.49 | 350.00 |
| Registration fee | Administration · Administration · AUT-REG | 02/10/2026 | 14 | 0.00 | 350.00 | 355.60 | 350.00 |
| Registration fee | Administration · Administration · AUT-REG | 05/10/2026 | 13 | 325.00 | 0.00 | 341.71 | 325.00 |
| Registration fee | Administration · Administration · AUT-REG | 05/10/2026 | 13 | 325.00 | 0.00 | 336.21 | 325.00 |
| Registration fee | Administration · Administration · AUT-REG | 02/10/2026 | 13 | 25.00 | 300.00 | 333.35 | 325.00 |
| Registration fee | Administration · Administration · AUT-REG | 03/10/2026 | 12 | 50.00 | 250.00 | 308.34 | 300.00 |
| Registration fee | Administration · Administration · AUT-REG | 02/10/2026 | 10 | 0.00 | 250.00 | 261.13 | 250.00 |
| Registration fee | Administration · Administration · AUT-REG | 01/10/2026 | 9 | 0.00 | 225.00 | 236.12 | 225.00 |
| Registration fee | Administration · Administration · AUT-REG | 02/10/2026 | 8 | 0.00 | 200.00 | 213.88 | 200.00 |
| Registration fee | Administration · Administration · AUT-REG | 01/10/2026 | 8 | 0.00 | 200.00 | 205.53 | 200.00 |
| Registration fee | Administration · Administration · AUT-REG | 05/10/2026 | 6 | 150.00 | 0.00 | 152.75 | 150.00 |
| Registration fee | Administration · Administration · AUT-REG | 05/10/2026 | 6 | 150.00 | 0.00 | 158.35 | 150.00 |
| Registration fee | Administration · Administration · AUT-REG | 01/10/2026 | 6 | 0.00 | 150.00 | 155.56 | 150.00 |
| Registration fee | Administration · Administration · AUT-REG | 02/10/2026 | 5 | 0.00 | 125.00 | 127.79 | 125.00 |
| Registration fee | Administration · Administration · AUT-REG | 05/10/2026 | 4 | 100.00 | 0.00 | 102.78 | 100.00 |
| Registration fee | Administration · Administration · AUT-REG | 03/10/2026 | 4 | 0.00 | 100.00 | 105.61 | 100.00 |
| Registration fee | Administration · Administration · AUT-REG | 03/10/2026 | 4 | 25.00 | 75.00 | 108.40 | 100.00 |
| Registration fee | Administration · Administration · AUT-REG | 02/10/2026 | 4 | 0.00 | 100.00 | 102.78 | 100.00 |
| Registration fee | Administration · Administration · AUT-REG | 01/10/2026 | 4 | 0.00 | 100.00 | 100.00 | 100.00 |
| Registration fee | Administration · Administration · AUT-REG | 05/10/2026 | 3 | 75.00 | 0.00 | 80.61 | 75.00 |
| Registration fee | Administration · Administration · AUT-REG | 03/10/2026 | 3 | 0.00 | 75.00 | 77.78 | 75.00 |
| Registration fee | Administration · Administration · AUT-REG | 03/10/2026 | 3 | 25.00 | 50.00 | 77.76 | 75.00 |
| Registration fee | Administration · Administration · AUT-REG | 03/10/2026 | 3 | 0.00 | 75.00 | 75.00 | 75.00 |
| Registration fee | Administration · Administration · AUT-REG | 02/10/2026 | 3 | 0.00 | 75.00 | 75.00 | 75.00 |
| Registration fee | Administration · Administration · AUT-REG | 01/10/2026 | 3 | 0.00 | 75.00 | 80.65 | 75.00 |
| Registration fee | Administration · Administration · AUT-REG | 05/10/2026 | 3 | 70.00 | 0.00 | 75.00 | 70.00 |
| Registration fee | Administration · Administration · AUT-REG | 02/10/2026 | 2 | 0.00 | 50.00 | 50.00 | 50.00 |
| Registration fee | Administration · Administration · AUT-REG | 01/10/2026 | 2 | 0.00 | 50.00 | 52.82 | 50.00 |
| Registration fee | Administration · Administration · AUT-REG | 03/10/2026 | 1 | 0.00 | 25.00 | 27.81 | 25.00 |
| Registration fee | Administration · Administration · AUT-REG | 03/10/2026 | 1 | 0.00 | 25.00 | 27.78 | 25.00 |
| Pre-operative blood tests | Laboratory · Laboratory · LAB-0012 | 05/10/2026 | 1 | 48.00 | 0.00 | 48.00 | 48.00 |
| Pre-operative blood tests | Laboratory · Laboratory · LAB-0012 | 03/10/2026 | 1 | 0.00 | 48.00 | 48.00 | 48.00 |
| Pre-operative blood tests | Laboratory · Laboratory · LAB-0012 | 02/10/2026 | 1 | 0.00 | 48.00 | 48.00 | 48.00 |
| Pre-operative blood tests | Laboratory · Laboratory · LAB-0012 | 02/10/2026 | 1 | 0.00 | 48.00 | 53.40 | 48.00 |
| Pre-operative blood tests | Laboratory · Laboratory · LAB-0012 | 02/10/2026 | 1 | 48.00 | 0.00 | 48.00 | 48.00 |
| Pre-operative blood tests | Laboratory · Laboratory · LAB-0012 | 01/10/2026 | 1 | 48.00 | 0.00 | 53.43 | 48.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 05/10/2026 | 1 | -36.00 | 0.00 | -39.96 | -36.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 05/10/2026 | 3 | -77.00 | 0.00 | -85.55 | -77.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 01/10/2026 | 2 | 0.00 | -78.00 | -86.75 | -78.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 05/10/2026 | 2 | -84.00 | 0.00 | -93.41 | -84.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 03/10/2026 | 4 | -7.00 | -103.00 | -122.18 | -110.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 03/10/2026 | 5 | -15.00 | -105.00 | -133.34 | -120.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 02/10/2026 | 2 | 0.00 | -129.00 | -143.32 | -129.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 03/10/2026 | 3 | 0.00 | -135.00 | -150.09 | -135.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 05/10/2026 | 6 | -219.00 | 0.00 | -243.35 | -219.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 02/10/2026 | 6 | 0.00 | -224.00 | -248.99 | -224.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 03/10/2026 | 5 | 0.00 | -225.00 | -250.04 | -225.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 05/10/2026 | 3 | -297.00 | 0.00 | -330.01 | -297.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 02/10/2026 | 11 | -7.00 | -370.00 | -418.93 | -377.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 05/10/2026 | 5 | -388.00 | 0.00 | -431.28 | -388.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 02/10/2026 | 3 | 0.00 | -427.00 | -474.40 | -427.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 01/10/2026 | 14 | -19.00 | -439.00 | -509.14 | -458.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 03/10/2026 | 3 | 0.00 | -509.00 | -565.56 | -509.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 03/10/2026 | 4 | -10.00 | -650.00 | -733.40 | -660.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 05/10/2026 | 5 | -807.00 | 0.00 | -896.60 | -807.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 01/10/2026 | 30 | -43.00 | -779.00 | -914.07 | -822.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 01/10/2026 | 9 | -20.00 | -859.00 | -976.82 | -879.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 01/10/2026 | 9 | -7.00 | -893.00 | -1,000.26 | -900.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 03/10/2026 | 12 | -111.00 | -837.00 | -1,053.40 | -948.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 05/10/2026 | 9 | -976.00 | 0.00 | -1,084.51 | -976.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 02/10/2026 | 19 | -45.00 | -1,080.00 | -1,250.34 | -1,125.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 02/10/2026 | 8 | 0.00 | -1,244.00 | -1,382.33 | -1,244.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 01/10/2026 | 15 | -29.00 | -1,280.00 | -1,454.68 | -1,309.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 03/10/2026 | 9 | 0.00 | -1,594.00 | -1,771.23 | -1,594.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 01/10/2026 | 18 | -26.00 | -1,747.00 | -1,970.20 | -1,773.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 01/10/2026 | 23 | -104.00 | -1,908.00 | -2,235.84 | -2,012.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 02/10/2026 | 23 | -52.00 | -3,624.00 | -4,084.73 | -3,676.00 |
| Panel contract adjustment | Adjustment · Administration · ADJ-PNL | 02/10/2026 | 27 | 0.00 | -3,743.00 | -4,159.52 | -3,743.00 |