| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $53 | $83 | $123 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $79 | $99 | $117 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $60 | $111 | $155 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $80 | $138 | $202 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $148 | $233 | $330 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $49 | $121 | $350 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $75 | $142 | $350 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $114 | $187 | $350 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $151 | $221 | $350 |
| Office visit established patient minimal CPT 99211 • Office Visits | $12 | $17 | $24 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $39 | $49 | $65 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $62 | $130 | $350 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $88 | $108 | $150 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $109 | $183 | $350 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $68 | $100 | $135 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $91 | $136 | $176 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $134 | $194 | $259 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $26 | $48 | $81 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $48 | $76 | $92 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $69 | $106 | $132 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $49 | $74 | $92 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $71 | $103 | $136 |
| Consultation office low complexity CPT 99243 • Office Visits | $82 | $136 | $211 |
| Consultation office high complexity CPT 99245 • Office Visits | $149 | $219 | $347 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $426 | $880 | $1,907 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $27 | $56 | $82 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $794 | $1,133 | $1,478 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $167 | $263 | $309 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $739 | $1,048 | $1,366 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $341 | $755 | $1,430 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $205 | $259 | $375 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $372 | $671 | $935 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $367 | $756 | $1,563 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $77 | $135 | $230 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $802 | $1,503 | $2,457 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $350 | $565 | $767 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $230 | $566 | $1,461 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $326 | $760 | $1,388 |
| Excision chalazion single CPT 67800 • Ophthalmology | $88 | $147 | $241 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $548 | $752 | $998 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $101 | $169 | $275 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $47 | $78 | $122 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $103 | $158 | $223 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $61 | $91 | $128 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $87 | $120 | $148 |
| Visual field examination CPT 92083 • Ophthalmology | $25 | $47 | $73 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $15 | $29 | $39 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $21 | $50 | $87 |
| Fundus photography CPT 92250 • Ophthalmology | $24 | $33 | $41 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $32 | $46 | $65 |