| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,031 | 1,050 | 560 | $80 | $266.8K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 850 | 880 | 400 | $60 | $136K |
| V2020 | Frames, purchases | 24 | 330 | 320 | $40 | $62.7K |
| 92014 | An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group… | 26 | 250 | 180 | $60 | $60.5K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 23 | 200 | 70 | $90 | $37.6K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 24 | 160 | 170 | $30 | $34.6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 15 | 150 | 110 | $40 | $30K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 13 | 90 | 120 | $50 | $28.2K |
| V2760 | Scratch resistant coating, per lens | 13 | 120 | 230 | $20 | $14.3K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 17 | 150 | 160 | $10 | $11K |