| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $154 | $367 | $709 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $60 | $79 | $112 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $100 | $162 | $255 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $163 | $235 | $384 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $223 | $243 | $279 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $36 | $88 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $39 | $58 | $87 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $72 | $96 | $139 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $106 | $158 | $256 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $158 | $238 | $356 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $118 | $129 | $152 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $161 | $175 | $204 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $237 | $257 | $299 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $47 | $55 | $65 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $86 | $97 | $107 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $123 | $140 | $157 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $84 | $97 | $108 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $124 | $141 | $158 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $113 | $260 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $151 | $282 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $763 | $1,115 | $1,462 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $54 | $74 | $83 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,150 | $1,385 | $1,692 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $200 | $297 | $369 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,155 | $1,639 | $2,544 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $684 | $841 | $1,181 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $340 | $432 | $550 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $942 | $1,227 | $1,729 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $781 | $971 | $1,427 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $120 | $159 | $234 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,545 | $1,939 | $2,751 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $486 | $654 | $759 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $404 | $657 | $1,298 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $648 | $769 | $1,060 |
| Excision chalazion single CPT 67800 • Ophthalmology | $138 | $171 | $238 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $575 | $771 | $902 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $115 | $157 | $179 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $60 | $85 | $132 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $124 | $198 | $358 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $67 | $113 | $216 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $100 | $184 | $303 |
| Visual field examination CPT 92083 • Ophthalmology | $53 | $81 | $154 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $20 | $43 | $98 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $27 | $51 | $88 |
| Fundus photography CPT 92250 • Ophthalmology | $51 | $72 | $94 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $56 | $91 | $127 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $58 | $84 | $122 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $61 | $86 | $144 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,691 | $2,591 | $3,695 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,569 | $2,373 | $3,466 |