| J0178 | Injection, aflibercept, 1 mg | 1,100 | $690 | $763.7K |
| 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. | 2,080 | $80 | $174.5K |
| J7999 | Compounded drug, not otherwise classified | 1,500 | $70 | $107.6K |
| 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. | 3,600 | $30 | $100.7K |
| 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… | 1,490 | $60 | $95.3K |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 3,060 | $30 | $88.7K |
| 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… | 1,000 | $80 | $82.3K |
| J2778 | Injection, ranibizumab, 0.1 mg | 260 | $180 | $47.1K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 50 | $850 | $40.8K |
| 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… | 290 | $110 | $31.6K |