| 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… | 924 | 1,270 | 1,240 | $30 | $245K |
| 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… | 21 | 140 | 550 | $70 | $70.2K |
| V2020 | Frames, purchases | 8 | 130 | 510 | $60 | $61.5K |
| 99203 | The provider sees a new 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 provider… | 248 | 440 | 110 | $60 | $57.2K |
| 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. | 15 | 120 | 270 | $80 | $42.5K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 5 | 80 | 510 | $30 | $31.7K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 10 | 90 | 300 | $40 | $31.6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 14 | 80 | 140 | $30 | $10.3K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | 5 | 10 | 40 | $30 | $4.7K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 4 | 10 | 40 | $30 | $3.6K |