| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $203 | $203 | $203 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $333 | $333 | $333 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $57 | $57 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $83 | $83 | $83 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $127 | $127 | $127 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $160 | $160 | $160 |
| Office visit established patient minimal CPT 99211 • Office Visits | $16 | $16 | $16 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $32 | $32 | $32 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $53 | $53 | $53 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $73 | $73 | $73 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $98 | $98 | $98 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $78 | $78 | $78 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $107 | $107 | $107 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $158 | $158 | $158 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $32 | $32 | $32 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $58 | $58 | $58 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $83 | $83 | $83 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $58 | $58 | $58 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $85 | $85 | $85 |
| Consultation office low complexity CPT 99243 • Office Visits | $112 | $112 | $112 |
| Consultation office high complexity CPT 99245 • Office Visits | $203 | $203 | $203 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $501 | $501 | $501 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $65 | $65 | $65 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,089 | $1,089 | $1,089 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $317 | $317 | $317 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,091 | $1,091 | $1,091 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $582 | $582 | $582 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $418 | $418 | $418 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $980 | $980 | $980 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $704 | $704 | $704 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $200 | $200 | $200 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,482 | $1,482 | $1,482 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $617 | $617 | $617 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $1,115 | $1,115 | $1,115 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $550 | $550 | $550 |
| Excision chalazion single CPT 67800 • Ophthalmology | $118 | $118 | $118 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $656 | $656 | $656 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $139 | $139 | $139 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $52 | $52 | $52 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $97 | $97 | $97 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $55 | $55 | $55 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $80 | $80 | $80 |
| Visual field examination CPT 92083 • Ophthalmology | $58 | $58 | $58 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $34 | $34 | $34 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $60 | $60 | $60 |
| Fundus photography CPT 92250 • Ophthalmology | $75 | $75 | $75 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $56 | $56 | $56 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $60 | $60 | $60 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $78 | $78 | $78 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,892 | $1,892 | $1,892 |