| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $134 | $205 | $294 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $115 | $194 | $385 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $130 | $367 | $631 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $70 | $140 | $265 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $134 | $203 | $269 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $170 | $309 | $516 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $272 | $446 | $646 |
| Office visit established patient minimal CPT 99211 • Office Visits | $22 | $42 | $75 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $40 | $81 | $144 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $88 | $140 | $204 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $124 | $202 | $287 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $149 | $289 | $453 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $147 | $171 | $205 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $159 | $223 | $291 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $192 | $300 | $388 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $63 | $89 | $111 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $111 | $144 | $177 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $111 | $190 | $264 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $111 | $135 | $181 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $168 | $215 | $256 |
| Consultation office low complexity CPT 99243 • Office Visits | $155 | $173 | $198 |
| Consultation office high complexity CPT 99245 • Office Visits | $285 | $312 | $379 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $550 | $584 | $601 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $37 | $57 | $98 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,130 | $1,306 | $1,657 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $395 | $498 | $563 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,047 | $1,201 | $1,508 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $579 | $772 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $288 | $332 | $421 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $715 | $1,027 | $1,638 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $319 | $679 | $1,196 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $249 | $265 | $284 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,141 | $1,377 | $1,849 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $495 | $578 | $744 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $326 | $604 | $1,159 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $462 | $688 | $1,005 |
| Excision chalazion single CPT 67800 • Ophthalmology | $123 | $132 | $151 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $566 | $803 | $1,072 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $147 | $264 | $328 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $61 | $108 | $186 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $61 | $188 | $329 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $61 | $127 | $195 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $61 | $159 | $277 |
| Visual field examination CPT 92083 • Ophthalmology | $29 | $84 | $139 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $13 | $49 | $74 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $48 | $62 | $104 |
| Fundus photography CPT 92250 • Ophthalmology | $35 | $65 | $129 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $73 | $107 | $128 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $53 | $87 | $121 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $63 | $105 | $143 |