| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $97 | $106 | $112 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $73 | $108 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $153 | $164 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $234 | $260 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $59 | $72 | $79 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $107 | $138 | $183 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $135 | $185 | $255 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $131 | $174 | $212 |
| Office visit established patient minimal CPT 99211 • Office Visits | $7 | $21 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $46 | $52 | $56 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $62 | $80 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $93 | $129 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $165 | $168 | $171 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $55 | $79 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $45 | $112 | $198 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $45 | $149 | $264 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $45 | $56 | $75 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $56 | $75 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $83 | $144 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $61 | $105 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $93 | $125 | $174 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $76 | $107 |
| Consultation office high complexity CPT 99245 • Office Visits | $45 | $152 | $238 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $45 | $402 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $45 | $45 | $45 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $368 | $368 | $368 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $38 | $45 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $483 | $483 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $296 | $296 | $296 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $554 | $609 | $663 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $263 | $496 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $30 | $67 | $103 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $30 | $30 | $30 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $30 | $197 | $515 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $45 | $278 | $432 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $45 | $45 | $45 |
| Excision chalazion single CPT 67800 • Ophthalmology | $30 | $30 | $30 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $1,039 | $1,039 | $1,039 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $147 | $147 | $147 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $86 | $87 | $88 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $115 | $119 | $122 |
| Visual field examination CPT 92083 • Ophthalmology | $62 | $62 | $62 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $26 | $31 | $39 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $29 | $35 | $45 |
| Fundus photography CPT 92250 • Ophthalmology | $30 | $33 | $35 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $40 | $40 | $40 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $30 | $30 | $30 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $57 | $62 | $68 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,583 | $1,765 | $1,946 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $45 | $45 | $45 |