| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $51 | $100 | $157 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $40 | $109 | $158 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $74 | $204 | $305 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $129 | $313 | $498 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $56 | $68 | $81 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $61 | $118 | $196 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $127 | $197 | $293 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $132 | $233 | $387 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $29 | $41 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $20 | $50 | $99 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $39 | $110 | $221 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $82 | $140 | $225 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $111 | $199 | $316 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $78 | $113 | $141 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $110 | $161 | $223 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $160 | $224 | $297 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $51 | $84 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $59 | $89 | $136 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $84 | $129 | $203 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $60 | $90 | $140 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $87 | $130 | $197 |
| Consultation office low complexity CPT 99243 • Office Visits | $85 | $153 | $243 |
| Consultation office high complexity CPT 99245 • Office Visits | $202 | $300 | $447 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $513 | $711 | $963 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $53 | $62 | $73 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,057 | $1,538 | $2,041 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $313 | $382 | $469 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $392 | $1,209 | $1,896 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $551 | $789 | $1,120 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $403 | $519 | $794 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $954 | $1,211 | $1,687 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $682 | $1,001 | $1,842 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $159 | $201 | $228 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $378 | $1,426 | $2,048 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $615 | $701 | $893 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $404 | $727 | $985 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $527 | $780 | $1,340 |
| Excision chalazion single CPT 67800 • Ophthalmology | $116 | $201 | $347 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $543 | $1,083 | $1,968 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $138 | $184 | $253 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $1 | $59 | $120 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $1 | $132 | $260 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $1 | $62 | $127 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $1 | $108 | $220 |
| Visual field examination CPT 92083 • Ophthalmology | $1 | $47 | $77 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $1 | $30 | $57 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $1 | $52 | $85 |
| Fundus photography CPT 92250 • Ophthalmology | $1 | $46 | $75 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $41 | $58 | $79 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $45 | $63 | $81 |