| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $78 | $78 | $78 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $94 | $94 | $94 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $97 | $97 | $97 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $143 | $143 | $143 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $71 | $71 | $71 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $106 | $106 | $106 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $149 | $149 | $149 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $189 | $189 | $189 |
| Office visit established patient minimal CPT 99211 • Office Visits | $23 | $23 | $23 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $41 | $41 | $41 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $58 | $58 | $58 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $90 | $90 | $90 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $131 | $131 | $131 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $74 | $74 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $122 | $122 | $122 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $170 | $170 | $170 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $37 | $37 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $60 | $60 | $60 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $86 | $86 | $86 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $77 | $77 | $77 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $105 | $105 | $105 |
| Consultation office straightforward CPT 99241 • Office Visits | $55 | $55 | $55 |
| Consultation office low complexity CPT 99243 • Office Visits | $133 | $133 | $133 |
| Consultation office high complexity CPT 99245 • Office Visits | $242 | $242 | $242 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $625 | $625 | $625 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $67 | $67 | $67 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,129 | $1,129 | $1,129 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $380 | $380 | $380 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,034 | $1,034 | $1,034 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $549 | $549 | $549 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $403 | $403 | $403 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $989 | $989 | $989 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $753 | $753 | $753 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $376 | $376 | $376 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,594 | $1,594 | $1,594 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $636 | $636 | $636 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $992 | $992 | $992 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $550 | $550 | $550 |
| Excision chalazion single CPT 67800 • Ophthalmology | $162 | $162 | $162 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $565 | $565 | $565 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $199 | $199 | $199 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $76 | $76 | $76 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $139 | $139 | $139 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $70 | $70 | $70 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $103 | $103 | $103 |
| Visual field examination CPT 92083 • Ophthalmology | $76 | $76 | $76 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $35 | $35 | $35 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $64 | $64 | $64 |
| Fundus photography CPT 92250 • Ophthalmology | $90 | $90 | $90 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $56 | $56 | $56 |