| J0178 | Injection, aflibercept, 1 mg | 50 | $690 | $36K |
| 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… | 380 | $90 | $31.9K |
| 67218 | In this procedure, the provider temporarily implants a radio therapeutic source within the eye to treat a cancerous lesion within the retina. After four to five days, he removes the source. | 20 | $1,170 | $17.6K |
| 67028 | The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye. | 180 | $90 | $15.8K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 560 | $20 | $12.2K |
| 76512 | The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures. | 310 | $30 | $9.4K |
| J3490 | Unclassified drugs | 300 | $30 | $9.2K |
| 99443 | N/A | 60 | $100 | $6.1K |
| 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… | 30 | $120 | $4.1K |
| 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… | 60 | $60 | $3.7K |