| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $75 | $119 | $177 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $63 | $114 | $211 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $87 | $162 | $278 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $163 | $254 | $424 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $39 | $75 | $101 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $76 | $128 | $173 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $105 | $191 | $266 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $168 | $230 | $306 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $24 | $31 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $29 | $49 | $78 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $88 | $126 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $69 | $128 | $179 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $119 | $186 | $250 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $76 | $105 | $138 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $175 | $226 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $190 | $260 | $330 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $45 | $50 | $55 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $68 | $93 | $118 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $118 | $138 | $170 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $82 | $101 | $119 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $99 | $139 | $174 |
| Consultation office low complexity CPT 99243 • Office Visits | $59 | $131 | $166 |
| Consultation office high complexity CPT 99245 • Office Visits | $110 | $243 | $303 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $517 | $883 | $1,363 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $41 | $66 | $97 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,092 | $1,432 | $1,838 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $222 | $281 | $342 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $967 | $1,146 | $1,504 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $476 | $825 | $1,228 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $256 | $365 | $485 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $689 | $850 | $1,025 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $590 | $681 | $749 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $89 | $130 | $166 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,200 | $1,424 | $1,636 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $518 | $593 | $713 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $295 | $749 | $1,848 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $498 | $793 | $1,256 |
| Excision chalazion single CPT 67800 • Ophthalmology | $80 | $122 | $179 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $642 | $851 | $1,117 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $78 | $138 | $208 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $45 | $80 | $120 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $93 | $147 | $209 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $50 | $80 | $125 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $76 | $117 | $176 |
| Visual field examination CPT 92083 • Ophthalmology | $23 | $59 | $97 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $21 | $30 | $41 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $21 | $63 | $124 |
| Fundus photography CPT 92250 • Ophthalmology | $25 | $37 | $50 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $36 | $57 | $72 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $44 | $65 | $93 |