| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $45 | $84 | $132 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $65 | $132 | $163 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $69 | $170 | $214 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $96 | $245 | $341 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $39 | $58 | $84 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $65 | $83 | $120 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $105 | $137 | $182 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $144 | $186 | $228 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $12 | $25 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $23 | $36 | $52 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $62 | $82 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $69 | $94 | $120 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $102 | $134 | $165 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $103 | $134 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $122 | $149 | $222 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $172 | $213 | $310 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $35 | $52 | $82 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $76 | $107 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $109 | $156 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $65 | $87 | $140 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $95 | $113 | $148 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $78 | $135 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $147 | $245 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $517 | $567 | $614 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $48 | $61 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,092 | $1,131 | $1,258 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $189 | $277 | $345 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $640 | $972 | $1,173 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $476 | $550 | $707 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $138 | $290 | $390 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $435 | $732 | $928 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $504 | $628 | $755 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $89 | $140 | $190 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $154 | $1,057 | $1,386 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $488 | $598 | $693 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $295 | $604 | $1,006 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $425 | $510 | $634 |
| Excision chalazion single CPT 67800 • Ophthalmology | $95 | $118 | $142 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $493 | $647 | $876 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $69 | $117 | $161 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $32 | $54 | $83 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $61 | $99 | $144 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $55 | $86 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $71 | $122 |
| Visual field examination CPT 92083 • Ophthalmology | $35 | $45 | $61 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $8 | $30 | $39 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $18 | $49 | $73 |
| Fundus photography CPT 92250 • Ophthalmology | $11 | $31 | $58 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $32 | $39 | $54 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $35 | $52 | $78 |