| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $69 | $140 | $210 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $92 | $145 | $207 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $258 | $326 | $445 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $84 | $112 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $84 | $104 | $130 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $129 | $176 | $206 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $171 | $208 | $249 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $14 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $29 | $57 | $87 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $42 | $65 | $95 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $121 | $149 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $114 | $156 | $188 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $115 | $152 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $124 | $139 | $164 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $172 | $222 | $299 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $65 | $115 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $91 | $115 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $121 | $154 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $78 | $96 | $115 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $106 | $127 | $158 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $82 | $148 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $166 | $269 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $480 | $767 | $1,462 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $23 | $49 | $81 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $930 | $1,317 | $1,829 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $200 | $275 | $345 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $861 | $1,395 | $2,544 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $487 | $636 | $789 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $154 | $291 | $374 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $678 | $801 | $942 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $503 | $686 | $841 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $99 | $133 | $173 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $994 | $1,439 | $1,837 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $325 | $513 | $681 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $333 | $535 | $935 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $297 | $483 | $710 |
| Excision chalazion single CPT 67800 • Ophthalmology | $95 | $126 | $159 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $455 | $615 | $902 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $108 | $145 | $182 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $74 | $132 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $72 | $112 | $144 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $60 | $77 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $93 | $131 |
| Visual field examination CPT 92083 • Ophthalmology | $23 | $39 | $56 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $15 | $26 | $39 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $18 | $50 | $79 |
| Fundus photography CPT 92250 • Ophthalmology | $17 | $58 | $87 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $34 | $65 | $127 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $35 | $56 | $87 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $40 | $59 | $71 |