| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $112 | $142 | $182 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $118 | $195 | $243 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $211 | $310 | $377 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $70 | $98 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $106 | $167 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $165 | $335 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $171 | $249 | $366 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $27 | $46 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $29 | $63 | $113 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $56 | $95 | $133 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $103 | $195 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $188 | $361 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $120 | $199 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $118 | $167 | $267 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $172 | $247 | $391 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $53 | $77 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $90 | $141 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $149 | $202 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $78 | $107 | $142 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $106 | $154 | $208 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $78 | $156 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $143 | $285 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $614 | $2,050 | $5,919 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $46 | $222 | $682 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,105 | $5,047 | $14,813 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $262 | $808 | $2,195 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $311 | $2,696 | $7,926 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $487 | $2,519 | $7,926 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $318 | $766 | $2,195 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $813 | $2,377 | $7,926 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $341 | $2,315 | $7,926 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $162 | $298 | $682 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $384 | $4,001 | $14,813 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $681 | $1,303 | $2,195 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $395 | $935 | $2,195 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $458 | $2,564 | $7,926 |
| Excision chalazion single CPT 67800 • Ophthalmology | $95 | $322 | $682 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $493 | $2,700 | $7,926 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $108 | $293 | $682 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $78 | $102 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $72 | $156 | $189 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $100 | $182 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $146 | $258 |
| Visual field examination CPT 92083 • Ophthalmology | $39 | $79 | $130 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $32 | $43 | $57 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $28 | $89 | $144 |
| Fundus photography CPT 92250 • Ophthalmology | $42 | $60 | $98 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $34 | $190 | $682 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $35 | $212 | $682 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $24 | $208 | $682 |