| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $55 | $55 | $55 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $121 | $121 | $121 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $157 | $157 | $157 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $155 | $155 | $155 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $63 | $63 | $63 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $99 | $99 | $99 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $95 | $95 | $95 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $198 | $198 | $198 |
| Office visit established patient minimal CPT 99211 • Office Visits | $21 | $21 | $21 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $50 | $50 | $50 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $47 | $47 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $114 | $114 | $114 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $161 | $161 | $161 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $60 | $60 | $60 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $95 | $95 | $95 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $127 | $127 | $127 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $36 | $36 | $36 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $57 | $57 | $57 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $87 | $87 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $61 | $61 | $61 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $87 | $87 | $87 |
| Consultation office low complexity CPT 99243 • Office Visits | $72 | $72 | $72 |
| Consultation office high complexity CPT 99245 • Office Visits | $173 | $173 | $173 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $538 | $538 | $538 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $25 | $25 | $25 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $823 | $823 | $823 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $142 | $142 | $142 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $785 | $785 | $785 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $377 | $377 | $377 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $255 | $255 | $255 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $525 | $525 | $525 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $386 | $386 | $386 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $62 | $62 | $62 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $822 | $822 | $822 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $437 | $437 | $437 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $210 | $210 | $210 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $327 | $327 | $327 |
| Excision chalazion single CPT 67800 • Ophthalmology | $111 | $111 | $111 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $677 | $677 | $677 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $87 | $87 | $87 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $31 | $31 | $31 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $63 | $63 | $63 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $34 | $34 | $34 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $108 | $108 | $108 |
| Visual field examination CPT 92083 • Ophthalmology | $22 | $22 | $22 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $13 | $13 | $13 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $16 | $16 | $16 |
| Fundus photography CPT 92250 • Ophthalmology | $32 | $32 | $32 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $26 | $26 | $26 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $48 | $48 | $48 |