| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $54 | $136 | $242 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $65 | $166 | $292 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $114 | $225 | $381 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $102 | $302 | $623 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $39 | $92 | $158 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $65 | $152 | $245 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $105 | $235 | $366 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $142 | $286 | $483 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $27 | $52 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $50 | $76 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $43 | $100 | $200 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $69 | $158 | $281 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $102 | $227 | $395 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $82 | $122 | $176 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $193 | $279 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $163 | $289 | $382 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $42 | $64 | $105 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $68 | $113 | $170 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $96 | $157 | $253 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $70 | $111 | $175 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $99 | $166 | $247 |
| Consultation office low complexity CPT 99243 • Office Visits | $51 | $147 | $246 |
| Consultation office high complexity CPT 99245 • Office Visits | $110 | $278 | $454 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $517 | $853 | $1,362 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $60 | $83 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,092 | $1,749 | $2,552 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $189 | $369 | $531 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,017 | $1,735 | $2,370 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $476 | $781 | $1,104 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $219 | $433 | $647 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $689 | $1,164 | $1,610 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $497 | $827 | $1,207 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $78 | $151 | $246 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $918 | $1,626 | $2,560 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $488 | $800 | $1,116 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $295 | $506 | $735 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $425 | $832 | $1,383 |
| Excision chalazion single CPT 67800 • Ophthalmology | $101 | $193 | $284 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $549 | $1,073 | $1,725 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $100 | $195 | $316 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $39 | $89 | $129 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $80 | $186 | $325 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $31 | $106 | $194 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $151 | $275 |
| Visual field examination CPT 92083 • Ophthalmology | $51 | $61 | $82 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $18 | $45 | $71 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $34 | $61 | $95 |
| Fundus photography CPT 92250 • Ophthalmology | $15 | $49 | $81 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $36 | $65 | $77 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $37 | $65 | $79 |