| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $158 | $158 | $158 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $206 | $206 | $206 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $214 | $214 | $214 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $84 | $149 | $182 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $96 | $207 | $263 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $155 | $286 | $403 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $211 | $396 | $506 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $36 | $48 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $42 | $84 | $105 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $77 | $144 | $178 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $147 | $218 | $262 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $167 | $292 | $354 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $114 | $205 | $250 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $154 | $277 | $339 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $225 | $409 | $501 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $44 | $80 | $97 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $81 | $146 | $179 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $116 | $210 | $257 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $82 | $146 | $179 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $119 | $216 | $265 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $194 | $301 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $367 | $551 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $735 | $1,730 | $2,228 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $26 | $177 | $252 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $2,064 | $3,609 | $4,381 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $359 | $763 | $999 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $806 | $2,646 | $3,566 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $890 | $1,872 | $2,363 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $276 | $815 | $1,084 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,303 | $2,326 | $2,937 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $951 | $1,890 | $2,359 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $67 | $274 | $377 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,383 | $3,641 | $4,770 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $582 | $1,464 | $1,905 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $222 | $910 | $1,255 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $533 | $1,647 | $2,205 |
| Excision chalazion single CPT 67800 • Ophthalmology | $179 | $342 | $465 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $434 | $1,923 | $2,762 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $86 | $388 | $539 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $53 | $53 | $53 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $109 | $109 | $109 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $58 | $58 | $58 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $88 | $88 | $88 |
| Visual field examination CPT 92083 • Ophthalmology | $44 | $44 | $44 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $71 | $71 | $71 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $35 | $35 | $35 |
| Fundus photography CPT 92250 • Ophthalmology | $65 | $65 | $65 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $64 | $134 | $176 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $41 | $122 | $184 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $77 | $168 | $221 |