| J0178 | Injection, aflibercept, 1 mg | 460 | $680 | $311.4K |
| 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. | 880 | $80 | $67.5K |
| 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… | 850 | $50 | $42.5K |
| 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. | 1,560 | $20 | $32.7K |
| 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… | 150 | $70 | $10.9K |
| J3590 | Unclassified biologics | 80 | $50 | $3.8K |
| 99203 | The provider sees a new 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 provider… | 20 | $70 | $1.5K |
| 92274 | The provider performs an electrophysiologic test of retinal function, which consists of multifocal electroretinography (mfERG) to detect localized retinal abnormalities or cone–rod dysfunction. The… | 20 | $20 | $550 |
| 92273 | The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess… | 20 | $30 | $530 |
| 95930 | The provider performs visual evoked potential testing that measures the electrical activity of the brain in response to a visual stimulus; however, this test is not used for VEP for glaucoma.… | 20 | $10 | $220 |