Mother went to an OD and I accompanied her. Her CC was "I'm having eye irritation." Got a diagnosis of macular degeneration ("I see some macular changes" "Take lutein supplements.") and dry eye. Gave her some systane artificial tears. Mother went to her PCP and told her she went to an optometrist and the PCP told her to go see an ophthalmologist. I accompanied her to the ophthalmologist. Her CC was "I'm having eye irritation." MD said "its normal with women after menopause" Gave her some systane artificial tears. Diagnosis: dry eye, macular degeneration. Then as we were about to leave I asked, should she take lutein?. He said yes, she can. Then we asked what dose. He said nobody knows how much should be taken. All went well until I saw the crazy costs that our insurance covered: Eye exam with photos (92250) - $316 Eye exam, new patient (92004) - $508 Special eye evaluation (92020) - $104 Are these values normal? He did nothing different from the OD yet charged way more (I don't have the specific bill on hand but I can get it). $928 for an eye exam? Wow. If anyone is a NYC billing specialist, around how much can ODs charge for this type of eye exam if they have a fundus camera? I hope the Harkin Amendment gets implemented fast (scheduled 2014).