| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $80 | $133 | $193 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $149 | $161 | $169 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $144 | $229 | $277 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $72 | $86 | $101 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $123 | $149 | $181 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $150 | $172 | $188 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $160 | $214 | $280 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $30 | $40 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $46 | $53 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $64 | $73 | $84 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $80 | $117 | $146 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $139 | $154 | $169 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $118 | $141 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $107 | $152 | $189 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $168 | $227 | $278 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $44 | $63 | $90 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $77 | $89 | $99 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $114 | $126 | $143 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $79 | $89 | $100 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $111 | $127 | $146 |
| Consultation office low complexity CPT 99243 • Office Visits | $110 | $122 | $133 |
| Consultation office high complexity CPT 99245 • Office Visits | $179 | $223 | $265 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $618 | $719 | $819 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $43 | $47 | $50 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,280 | $1,436 | $1,593 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $236 | $278 | $330 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $46 | $855 | $1,464 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $543 | $606 | $669 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $316 | $320 | $324 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $718 | $844 | $1,007 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $461 | $595 | $733 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $123 | $127 | $133 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,292 | $1,453 | $1,614 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $559 | $625 | $692 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $146 | $309 | $412 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $521 | $661 | $800 |
| Excision chalazion single CPT 67800 • Ophthalmology | $138 | $139 | $139 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $784 | $824 | $865 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $157 | $158 | $160 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $65 | $73 | $82 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $127 | $142 | $166 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $71 | $82 | $99 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $107 | $140 | $167 |
| Visual field examination CPT 92083 • Ophthalmology | $52 | $69 | $83 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $17 | $24 | $34 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $42 | $57 | $82 |
| Fundus photography CPT 92250 • Ophthalmology | $30 | $36 | $40 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $55 | $62 | $68 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $52 | $54 | $57 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $68 | $87 | $109 |