| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $253 | $270 | $288 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $72 | $77 | $79 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $116 | $146 | $168 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $178 | $221 | $256 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $219 | $254 | $321 |
| Office visit established patient minimal CPT 99211 • Office Visits | $23 | $28 | $35 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $36 | $51 | $70 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $76 | $105 | $125 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $115 | $153 | $177 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $155 | $187 | $227 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $137 | $147 | $158 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $153 | $183 | $213 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $193 | $254 | $315 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $46 | $53 | $61 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $82 | $97 | $113 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $117 | $140 | $162 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $70 | $85 | $114 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $90 | $120 | $167 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $0 | $0 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $0 | $0 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $453 | $631 | $810 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $54 | $64 | $75 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,524 | $1,547 | $1,571 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $206 | $266 | $327 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $198 | $825 | $1,452 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $657 | $755 | $853 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $306 | $351 | $396 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,053 | $1,086 | $1,119 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $703 | $775 | $847 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $135 | $136 | $137 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,531 | $1,562 | $1,592 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $500 | $593 | $687 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $454 | $520 | $586 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $288 | $540 | $791 |
| Excision chalazion single CPT 67800 • Ophthalmology | $83 | $127 | $170 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $480 | $751 | $1,022 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $152 | $174 | $197 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $45 | $78 | $111 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $121 | $160 | $199 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $50 | $83 | $116 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $75 | $121 | $167 |
| Visual field examination CPT 92083 • Ophthalmology | $37 | $42 | $47 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $21 | $28 | $34 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $42 | $52 | $61 |
| Fundus photography CPT 92250 • Ophthalmology | $17 | $23 | $29 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $48 | $59 | $71 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $49 | $57 | $67 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $42 | $60 | $80 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $2,295 | $2,829 | $3,363 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $2,133 | $2,627 | $3,120 |