| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $278 | $301 | $341 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $48 | $70 | $104 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $87 | $110 | $150 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $122 | $160 | $228 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $154 | $204 | $288 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $20 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $38 | $60 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $32 | $63 | $102 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $98 | $150 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $95 | $137 | $202 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $132 | $180 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $114 | $143 | $193 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $143 | $200 | $285 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $94 | $189 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $47 | $70 | $102 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $75 | $103 | $147 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $78 | $145 | $254 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $82 | $113 | $151 |
| Consultation office low complexity CPT 99243 • Office Visits | $73 | $111 | $171 |
| Consultation office high complexity CPT 99245 • Office Visits | $142 | $211 | $313 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $614 | $720 | $910 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $54 | $71 | $103 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,052 | $1,315 | $1,788 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $345 | $373 | $408 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $667 | $1,111 | $1,646 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $487 | $766 | $966 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $168 | $328 | $442 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $813 | $957 | $1,200 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $640 | $881 | $1,039 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $154 | $160 | $173 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,379 | $1,550 | $1,814 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $566 | $675 | $779 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $319 | $589 | $935 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $338 | $565 | $900 |
| Excision chalazion single CPT 67800 • Ophthalmology | $88 | $124 | $189 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $493 | $715 | $1,129 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $108 | $159 | $220 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $30 | $50 | $83 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $72 | $101 | $145 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $49 | $86 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $80 | $122 |
| Visual field examination CPT 92083 • Ophthalmology | $39 | $54 | $63 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $23 | $32 | $39 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $48 | $72 | $95 |
| Fundus photography CPT 92250 • Ophthalmology | $20 | $38 | $58 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $34 | $61 | $78 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $35 | $49 | $76 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $40 | $59 | $91 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $245 | $1,574 | $2,586 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,006 | $1,817 | $2,406 |