| 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… | 1,226 | 1,360 | 190 | $70 | $125K |
| 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… | 12 | 160 | 120 | $100 | $55.5K |
| 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. | 7 | 140 | 100 | $90 | $42.5K |
| V2020 | Frames, purchases | 6 | 80 | 180 | $50 | $36.6K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 3 | 40 | 290 | $60 | $32K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | 4 | 10 | 140 | $60 | $21.9K |
| V2025 | Deluxe frame | 3 | 10 | 530 | $20 | $10.1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5 | 40 | 150 | $10 | $6.5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4 | 30 | 50 | $10 | $6.2K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1 | 10 | 110 | $50 | $5.1K |