| T1013 | Sign language or oral interpretive services, per 15 minutes | 21 | 210 | 560 | $60 | $822.1K |
| 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… | 492 | 1,200 | 1,030 | $70 | $549.7K |
| 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… | 10 | 430 | 560 | $70 | $134K |
| 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… | 316 | 450 | 140 | $60 | $101.3K |
| 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. | 12 | 370 | 230 | $90 | $92.5K |
| V2020 | Frames, purchases | 7 | 380 | 620 | $30 | $74.9K |
| 92134 | The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes. | 38 | 50 | 220 | $20 | $56.7K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4 | 290 | 550 | $20 | $53.1K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 8 | 60 | 120 | $30 | $51.6K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 3 | 40 | 210 | $30 | $50.2K |