| 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… | 794 | 1,270 | 1,240 | $30 | $245K |
| 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… | 610 | 1,030 | 890 | $50 | $221K |
| 99204 | The provider sees a new 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 provider… | 326 | 340 | 140 | $90 | $97.5K |
| 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… | 3 | 140 | 550 | $70 | $70.2K |
| V2020 | Frames, purchases | 2 | 130 | 510 | $60 | $61.5K |
| 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. | 2 | 120 | 270 | $80 | $42.5K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 1 | 80 | 510 | $30 | $31.7K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3 | 90 | 300 | $40 | $31.6K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 3 | 10 | 190 | $60 | $23.8K |
| 92012 | For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any… | 30 | 40 | 110 | $40 | $22.4K |