| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $382 | $408 | $445 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $76 | $112 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $87 | $117 | $149 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $129 | $186 | $224 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $171 | $211 | $237 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $17 | $31 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $41 | $62 | $87 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $56 | $69 | $81 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $131 | $172 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $114 | $168 | $243 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $115 | $152 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $124 | $140 | $161 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $172 | $236 | $299 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $48 | $58 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $85 | $107 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $122 | $154 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $78 | $90 | $108 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $106 | $129 | $158 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $76 | $151 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $215 | $430 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $614 | $1,159 | $1,462 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $23 | $75 | $149 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,575 | $1,731 | $1,829 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $200 | $380 | $594 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,019 | $1,737 | $2,544 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $487 | $747 | $966 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $154 | $323 | $442 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $770 | $1,105 | $1,733 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $640 | $958 | $1,393 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $141 | $179 | $222 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,379 | $2,014 | $2,826 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $325 | $595 | $779 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $469 | $715 | $935 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $297 | $686 | $1,303 |
| Excision chalazion single CPT 67800 • Ophthalmology | $95 | $177 | $276 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $493 | $744 | $1,129 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $108 | $204 | $321 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $115 | $176 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $72 | $180 | $322 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $97 | $185 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $149 | $268 |
| Visual field examination CPT 92083 • Ophthalmology | $39 | $72 | $139 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $17 | $59 | $98 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $18 | $95 | $195 |
| Fundus photography CPT 92250 • Ophthalmology | $58 | $105 | $171 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $34 | $77 | $127 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $35 | $65 | $87 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $40 | $66 | $86 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,793 | $2,131 | $2,377 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,569 | $2,432 | $3,687 |