| J0178 | Injection, aflibercept, 1 mg | 990 | $690 | $675.4K |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 9,780 | $30 | $283.6K |
| 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… | 1,810 | $100 | $172K |
| 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. | 1,220 | $90 | $105.3K |
| 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. | 1,770 | $30 | $53.2K |
| 92201 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 2,160 | $20 | $41.1K |
| J3490 | Unclassified drugs | 30 | $1,320 | $37.1K |
| J7999 | Compounded drug, not otherwise classified | 460 | $70 | $30.9K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 150 | $110 | $16.8K |
| 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… | 130 | $120 | $16K |