| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $41 | $91 | $132 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $39 | $99 | $158 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $67 | $145 | $207 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $70 | $175 | $341 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $31 | $61 | $74 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $66 | $104 | $121 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $79 | $154 | $186 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $104 | $230 | $350 |
| Office visit established patient minimal CPT 99211 • Office Visits | $12 | $19 | $29 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $28 | $44 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $46 | $72 | $94 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $48 | $98 | $122 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $89 | $176 | $350 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $62 | $113 | $154 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $84 | $157 | $204 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $124 | $227 | $300 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $24 | $47 | $67 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $44 | $86 | $111 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $64 | $121 | $166 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $45 | $83 | $115 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $65 | $120 | $168 |
| Consultation office low complexity CPT 99243 • Office Visits | $76 | $125 | $161 |
| Consultation office high complexity CPT 99245 • Office Visits | $118 | $265 | $379 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $378 | $584 | $801 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $23 | $64 | $98 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $724 | $1,388 | $1,758 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $134 | $293 | $424 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $670 | $1,226 | $1,658 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $308 | $780 | $1,430 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $184 | $382 | $572 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $459 | $894 | $1,518 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $335 | $690 | $1,003 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $60 | $163 | $284 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $733 | $1,424 | $2,267 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $306 | $637 | $767 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $187 | $924 | $1,461 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $366 | $677 | $838 |
| Excision chalazion single CPT 67800 • Ophthalmology | $63 | $141 | $210 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $479 | $809 | $1,072 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $72 | $164 | $275 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $51 | $65 | $83 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $60 | $86 | $147 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $54 | $76 | $128 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $86 | $127 |
| Visual field examination CPT 92083 • Ophthalmology | $29 | $52 | $77 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $9 | $38 | $115 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $19 | $68 | $87 |
| Fundus photography CPT 92250 • Ophthalmology | $15 | $44 | $91 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $31 | $53 | $76 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $32 | $65 | $84 |