| J0178 | Injection, aflibercept, 1 mg | 1,290 | $690 | $890.2K |
| J2778 | Injection, ranibizumab, 0.1 mg | 1,670 | $190 | $314K |
| 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… | 1,620 | $100 | $166.7K |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 4,920 | $30 | $142.7K |
| 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. | 980 | $110 | $103.3K |
| 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. | 1,690 | $40 | $60.9K |
| 92202 | 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… | 1,100 | $10 | $14.2K |
| 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… | 80 | $140 | $10.6K |
| J7999 | Compounded drug, not otherwise classified | 40 | $80 | $3K |
| 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… | 120 | $20 | $2.4K |