| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $278 | $371 | $494 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $48 | $64 | $88 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $87 | $101 | $124 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $122 | $147 | $191 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $142 | $185 | $241 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $18 | $34 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $39 | $52 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $56 | $68 | $86 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $61 | $86 | $126 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $95 | $117 | $144 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $84 | $90 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $132 | $162 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $147 | $186 | $237 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $35 | $36 | $37 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $63 | $64 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $102 | $122 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $64 | $81 | $100 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $94 | $108 | $125 |
| Consultation office low complexity CPT 99243 • Office Visits | $73 | $104 | $149 |
| Consultation office high complexity CPT 99245 • Office Visits | $142 | $228 | $365 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $367 | $668 | $1,023 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $39 | $64 | $94 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,105 | $1,559 | $1,996 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $166 | $308 | $414 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $812 | $1,140 | $1,588 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $487 | $705 | $1,081 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $374 | $421 | $500 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $813 | $1,147 | $1,338 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $640 | $918 | $1,076 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $154 | $166 | $173 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,379 | $1,841 | $2,122 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $681 | $792 | $870 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $201 | $570 | $935 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $328 | $597 | $1,004 |
| Excision chalazion single CPT 67800 • Ophthalmology | $88 | $133 | $215 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $493 | $855 | $1,289 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $97 | $151 | $248 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $73 | $136 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $62 | $126 | $245 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $74 | $143 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $100 | $205 |
| Visual field examination CPT 92083 • Ophthalmology | $36 | $60 | $103 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $23 | $42 | $67 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $73 | $94 | $113 |
| Fundus photography CPT 92250 • Ophthalmology | $20 | $53 | $82 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $34 | $47 | $54 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $35 | $58 | $85 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $40 | $49 | $66 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $280 | $1,305 | $1,891 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $224 | $1,643 | $2,665 |