| J0178 | Injection, aflibercept, 1 mg | 1,450 | $690 | $994.6K |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 6,840 | $30 | $198.4K |
| 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. | 770 | $90 | $67.2K |
| 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… | 480 | $80 | $40K |
| J2778 | Injection, ranibizumab, 0.1 mg | 200 | $180 | $36.2K |
| 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. | 1,210 | $30 | $32.8K |
| 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… | 90 | $60 | $5.4K |
| 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… | 50 | $100 | $4.4K |
| J9035 | Injection, bevacizumab, 10 mg | 60 | $50 | $3.1K |
| 67145 | The provider prevents the detachment of the retina in the presence of small tears or thinning of the edges (lattice degeneration) by applying an intense light (such as a laser) to create scar tissue… | 20 | $160 | $2.7K |