| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $98 | $115 | $132 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $54 | $113 | $158 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $99 | $150 | $207 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $278 | $383 | $467 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $70 | $100 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $73 | $115 | $184 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $108 | $173 | $275 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $154 | $231 | $362 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $22 | $39 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $29 | $54 | $93 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $56 | $85 | $126 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $61 | $115 | $211 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $95 | $166 | $296 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $103 | $132 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $151 | $209 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $147 | $209 | $279 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $50 | $79 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $85 | $127 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $124 | $190 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $64 | $89 | $131 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $94 | $127 | $185 |
| Consultation office low complexity CPT 99243 • Office Visits | $73 | $126 | $184 |
| Consultation office high complexity CPT 99245 • Office Visits | $142 | $236 | $341 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $388 | $679 | $978 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $24 | $54 | $74 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $663 | $1,237 | $1,914 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $166 | $317 | $399 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,019 | $1,396 | $1,777 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $487 | $631 | $828 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $259 | $396 | $485 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $526 | $922 | $1,207 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $424 | $690 | $882 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $65 | $162 | $227 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,379 | $1,609 | $1,920 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $681 | $770 | $837 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $319 | $765 | $1,255 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $458 | $588 | $743 |
| Excision chalazion single CPT 67800 • Ophthalmology | $54 | $124 | $213 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $493 | $735 | $959 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $61 | $140 | $237 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $60 | $85 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $72 | $141 | $244 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $58 | $89 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $108 | $206 |
| Visual field examination CPT 92083 • Ophthalmology | $36 | $65 | $98 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $23 | $36 | $54 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $28 | $67 | $91 |
| Fundus photography CPT 92250 • Ophthalmology | $58 | $66 | $79 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $18 | $51 | $88 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $35 | $58 | $90 |