| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $90 | $122 | $154 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $219 | $219 | $219 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $50 | $117 | $182 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $77 | $197 | $263 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $144 | $284 | $403 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $152 | $352 | $506 |
| Office visit established patient minimal CPT 99211 • Office Visits | $22 | $31 | $48 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $26 | $64 | $105 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $55 | $117 | $178 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $63 | $192 | $262 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $101 | $264 | $354 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $73 | $187 | $250 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $120 | $263 | $339 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $168 | $384 | $501 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $36 | $78 | $100 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $60 | $139 | $179 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $85 | $199 | $257 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $76 | $145 | $181 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $103 | $209 | $265 |
| Consultation office low complexity CPT 99243 • Office Visits | $5 | $188 | $301 |
| Consultation office high complexity CPT 99245 • Office Visits | $196 | $419 | $551 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $665 | $1,598 | $2,228 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $55 | $151 | $252 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,203 | $2,985 | $4,381 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $361 | $774 | $999 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,083 | $2,635 | $3,566 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $581 | $1,558 | $2,363 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $426 | $877 | $1,122 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,046 | $2,321 | $2,981 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $789 | $1,757 | $2,359 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $232 | $362 | $477 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,582 | $3,601 | $4,770 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $690 | $1,505 | $1,920 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $956 | $1,683 | $2,838 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $566 | $1,472 | $2,205 |
| Excision chalazion single CPT 67800 • Ophthalmology | $109 | $286 | $465 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $559 | $1,715 | $2,762 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $119 | $361 | $539 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $50 | $56 | $61 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $61 | $79 | $97 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $61 | $65 | $68 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $61 | $81 | $101 |
| Visual field examination CPT 92083 • Ophthalmology | $54 | $65 | $77 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $17 | $23 | $29 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $88 | $119 | $150 |
| Fundus photography CPT 92250 • Ophthalmology | $26 | $29 | $33 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $60 | $133 | $176 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $48 | $120 | $184 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $79 | $150 | $221 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $2,138 | $4,702 | $6,384 |