| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $341 | $392 | $494 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $89 | $123 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $87 | $131 | $175 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $129 | $186 | $267 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $171 | $255 | $335 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $25 | $36 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $29 | $56 | $73 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $58 | $88 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $120 | $176 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $114 | $163 | $236 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $119 | $166 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $109 | $130 | $156 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $135 | $179 | $229 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $42 | $45 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $55 | $66 | $82 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $101 | $117 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $83 | $97 | $119 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $106 | $134 | $175 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $97 | $200 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $181 | $365 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $614 | $876 | $1,023 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $61 | $94 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $726 | $1,276 | $1,996 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $345 | $375 | $414 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $171 | $1,010 | $1,841 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $487 | $771 | $1,081 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $374 | $432 | $500 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $813 | $1,011 | $1,338 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $640 | $787 | $1,076 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $68 | $138 | $173 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,159 | $1,520 | $2,023 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $681 | $813 | $887 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $226 | $579 | $935 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $341 | $601 | $1,004 |
| Excision chalazion single CPT 67800 • Ophthalmology | $63 | $124 | $215 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $493 | $882 | $1,289 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $108 | $157 | $248 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $76 | $136 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $72 | $165 | $245 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $93 | $143 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $114 | $205 |
| Visual field examination CPT 92083 • Ophthalmology | $26 | $56 | $103 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $33 | $49 | $67 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $56 | $81 | $113 |
| Fundus photography CPT 92250 • Ophthalmology | $55 | $65 | $82 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $34 | $56 | $81 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $35 | $62 | $85 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $40 | $54 | $78 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $288 | $1,678 | $2,855 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,574 | $2,093 | $2,665 |