| J0178 | Injection, aflibercept, 1 mg | 1,450 | $690 | $1M |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 14,520 | $30 | $421.1K |
| 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. | 1,400 | $90 | $123.2K |
| J2778 | Injection, ranibizumab, 0.1 mg | 390 | $180 | $68.7K |
| 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. | 1,980 | $30 | $57.4K |
| 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… | 640 | $90 | $56.6K |
| 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… | 720 | $70 | $48.2K |
| 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… | 230 | $120 | $26.6K |
| J7999 | Compounded drug, not otherwise classified | 400 | $70 | $25.9K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 10 | $700 | $7.7K |