| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $50 | $137 | $235 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $57 | $128 | $283 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $106 | $222 | $370 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $96 | $288 | $605 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $50 | $91 | $155 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $80 | $105 | $121 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $128 | $162 | $185 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $164 | $266 | $478 |
| Office visit established patient minimal CPT 99211 • Office Visits | $20 | $35 | $70 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $42 | $66 | $122 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $50 | $73 | $94 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $77 | $143 | $276 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $109 | $206 | $386 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $86 | $131 | $247 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $132 | $171 | $274 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $193 | $247 | $398 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $38 | $78 | $192 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $64 | $99 | $192 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $100 | $137 | $247 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $70 | $106 | $192 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $103 | $143 | $241 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $130 | $247 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $229 | $448 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $558 | $847 | $1,498 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $54 | $76 | $101 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,138 | $1,632 | $2,502 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $206 | $369 | $542 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,098 | $1,444 | $2,325 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $321 | $582 | $763 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $149 | $375 | $635 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,046 | $1,221 | $1,579 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $754 | $907 | $1,259 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $115 | $187 | $253 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $154 | $1,506 | $2,565 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $500 | $596 | $752 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $280 | $803 | $1,178 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $266 | $664 | $1,179 |
| Excision chalazion single CPT 67800 • Ophthalmology | $103 | $163 | $279 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $630 | $771 | $902 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $117 | $194 | $308 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $45 | $98 | $179 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $139 | $190 | $313 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $81 | $109 | $188 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $75 | $145 | $266 |
| Visual field examination CPT 92083 • Ophthalmology | $37 | $73 | $136 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $37 | $47 | $70 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $30 | $74 | $132 |
| Fundus photography CPT 92250 • Ophthalmology | $17 | $62 | $115 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $32 | $67 | $117 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $57 | $81 | $120 |