| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $45 | $85 | $107 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $82 | $116 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $69 | $121 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $102 | $196 | $259 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $39 | $55 | $74 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $65 | $84 | $112 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $105 | $164 | $312 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $144 | $157 | $171 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $16 | $27 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $33 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $72 | $126 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $69 | $85 | $124 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $95 | $122 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $97 | $143 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $150 | $253 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $147 | $174 | $212 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $58 | $115 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $77 | $115 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $100 | $115 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $64 | $82 | $115 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $94 | $107 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $51 | $94 | $157 |
| Consultation office high complexity CPT 99245 • Office Visits | $110 | $178 | $282 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $512 | $878 | $1,793 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $206 | $824 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $663 | $2,816 | $9,610 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $171 | $567 | $1,801 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $667 | $1,757 | $4,928 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $355 | $1,402 | $4,928 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $219 | $629 | $1,801 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $689 | $1,732 | $4,928 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $436 | $1,453 | $4,928 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $89 | $260 | $824 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $204 | $2,686 | $9,610 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $488 | $830 | $1,801 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $295 | $751 | $1,801 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $338 | $1,322 | $4,928 |
| Excision chalazion single CPT 67800 • Ophthalmology | $88 | $252 | $824 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $493 | $1,531 | $4,928 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $63 | $250 | $824 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $46 | $61 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $72 | $88 | $113 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $46 | $65 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $64 | $94 |
| Visual field examination CPT 92083 • Ophthalmology | $27 | $40 | $60 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $23 | $34 | $39 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $29 | $61 | $95 |
| Fundus photography CPT 92250 • Ophthalmology | $33 | $49 | $69 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $34 | $199 | $824 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $35 | $198 | $824 |