| Code | Description | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
$868K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
$379K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
$260K |
| 92134 |
|
$144K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
$104K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
$97K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
$69K |
| J9035 |
Injection, bevacizumab, 10 mg |
$67K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
$59K |
| 92250 |
|
$58K |