| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $42 | $115 | $186 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $69 | $168 | $345 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $91 | $146 | $293 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $102 | $317 | $467 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $48 | $72 | $99 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $84 | $111 | $151 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $108 | $180 | $323 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $154 | $227 | $334 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $21 | $39 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $37 | $58 | $84 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $56 | $89 | $142 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $61 | $127 | $210 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $114 | $174 | $230 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $112 | $200 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $161 | $272 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $147 | $225 | $401 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $52 | $78 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $89 | $143 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $130 | $205 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $64 | $92 | $143 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $94 | $132 | $211 |
| Consultation office low complexity CPT 99243 • Office Visits | $73 | $139 | $244 |
| Consultation office high complexity CPT 99245 • Office Visits | $142 | $270 | $445 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $480 | $892 | $1,678 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $24 | $69 | $179 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $930 | $1,773 | $3,851 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $227 | $465 | $1,118 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $861 | $1,667 | $3,954 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $344 | $823 | $2,076 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $285 | $479 | $970 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $526 | $1,136 | $2,661 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $424 | $932 | $2,135 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $65 | $166 | $334 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $994 | $2,090 | $5,343 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $346 | $767 | $1,660 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $319 | $984 | $3,339 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $328 | $779 | $2,001 |
| Excision chalazion single CPT 67800 • Ophthalmology | $85 | $179 | $420 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $319 | $986 | $2,496 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $108 | $198 | $396 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $89 | $203 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $72 | $178 | $370 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $92 | $212 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $135 | $308 |
| Visual field examination CPT 92083 • Ophthalmology | $23 | $51 | $86 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $15 | $39 | $62 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $30 | $62 | $95 |
| Fundus photography CPT 92250 • Ophthalmology | $17 | $48 | $61 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $34 | $67 | $118 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $35 | $66 | $123 |