| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $89 | $90 | $91 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $113 | $113 | $113 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $55 | $95 | $136 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $175 | $177 | $178 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $291 | $291 | $291 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $71 | $81 | $91 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $129 | $129 | $129 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $133 | $149 | $164 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $113 | $180 | $246 |
| Office visit established patient minimal CPT 99211 • Office Visits | $28 | $29 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $54 | $54 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $70 | $110 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $95 | $160 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $173 | $173 | $173 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $100 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $131 | $131 | $131 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $198 | $198 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $110 | $110 | $110 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $73 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $65 | $99 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $70 | $110 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $110 | $120 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $100 | $170 |
| Consultation office high complexity CPT 99245 • Office Visits | $254 | $254 | $255 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $30 | $30 | $30 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $30 | $30 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,130 | $1,130 | $1,130 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $197 | $197 | $197 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $30 | $30 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $625 | $625 | $626 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $715 | $715 | $715 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $30 | $30 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $30 | $30 | $30 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $30 | $30 | $30 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $30 | $30 | $30 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $30 | $226 | $423 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $462 | $462 | $462 |
| Excision chalazion single CPT 67800 • Ophthalmology | $30 | $30 | $30 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $991 | $991 | $991 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $112 | $112 | $112 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $86 | $86 | $86 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $93 | $93 | $93 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $91 | $91 | $91 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $122 | $125 | $128 |
| Visual field examination CPT 92083 • Ophthalmology | $34 | $34 | $34 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $39 | $40 | $41 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $30 | $39 | $48 |
| Fundus photography CPT 92250 • Ophthalmology | $20 | $25 | $30 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $30 | $30 | $30 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $30 | $30 | $30 |