| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $231 | $305 | $382 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $58 | $60 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $87 | $108 | $149 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $107 | $153 | $224 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $171 | $194 | $237 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $19 | $27 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $29 | $44 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $46 | $56 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $115 | $172 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $114 | $157 | $243 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $91 | $118 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $106 | $130 | $161 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $155 | $188 | $237 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $38 | $47 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $56 | $68 | $86 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $80 | $97 | $123 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $56 | $73 | $84 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $82 | $104 | $124 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $77 | $154 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $141 | $282 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $614 | $643 | $671 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $29 | $37 | $54 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,194 | $1,309 | $1,423 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $248 | $296 | $345 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $123 | $571 | $1,019 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $487 | $550 | $614 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $286 | $330 | $374 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $813 | $856 | $899 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $437 | $539 | $640 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $73 | $123 | $173 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $953 | $1,166 | $1,379 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $401 | $541 | $681 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $153 | $544 | $935 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $458 | $504 | $551 |
| Excision chalazion single CPT 67800 • Ophthalmology | $95 | $109 | $124 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $299 | $396 | $493 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $108 | $125 | $142 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $56 | $69 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $72 | $74 | $75 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $56 | $72 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $54 | $60 |
| Visual field examination CPT 92083 • Ophthalmology | $39 | $45 | $51 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $22 | $34 | $47 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $57 | $68 | $75 |
| Fundus photography CPT 92250 • Ophthalmology | $30 | $44 | $58 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $34 | $50 | $72 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $35 | $58 | $73 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $23 | $50 | $86 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,803 | $2,040 | $2,223 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,295 | $1,667 | $2,040 |