| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $99 | $188 | $357 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $65 | $189 | $290 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $87 | $205 | $337 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $254 | $339 | $396 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $39 | $99 | $182 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $65 | $153 | $273 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $105 | $240 | $409 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $144 | $316 | $539 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $20 | $44 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $77 | $143 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $92 | $175 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $69 | $160 | $312 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $102 | $219 | $440 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $179 | $427 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $181 | $285 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $30 | $205 | $380 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $118 | $324 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $151 | $324 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $160 | $261 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $70 | $113 | $177 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $99 | $158 | $250 |
| Consultation office low complexity CPT 99243 • Office Visits | $51 | $137 | $248 |
| Consultation office high complexity CPT 99245 • Office Visits | $110 | $261 | $398 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $517 | $974 | $1,758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $84 | $124 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,092 | $2,003 | $3,740 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $189 | $442 | $781 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,017 | $1,901 | $3,463 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $476 | $903 | $1,600 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $219 | $490 | $949 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $689 | $1,308 | $2,362 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $504 | $982 | $1,724 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $89 | $195 | $361 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,095 | $2,117 | $3,767 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $488 | $921 | $1,636 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $295 | $685 | $1,079 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $425 | $882 | $1,443 |
| Excision chalazion single CPT 67800 • Ophthalmology | $95 | $200 | $411 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $493 | $1,171 | $2,536 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $108 | $229 | $466 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $105 | $224 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $72 | $162 | $263 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $97 | $235 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $142 | $332 |
| Visual field examination CPT 92083 • Ophthalmology | $34 | $68 | $114 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $18 | $31 | $40 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $29 | $73 | $124 |
| Fundus photography CPT 92250 • Ophthalmology | $33 | $45 | $58 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $34 | $83 | $117 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $35 | $98 | $176 |