| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $124 | $124 | $124 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $66 | $66 | $66 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $85 | $85 | $85 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $126 | $126 | $126 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $48 | $60 | $72 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $95 | $96 | $97 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $150 | $153 | $155 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $131 | $160 | $189 |
| Office visit established patient minimal CPT 99211 • Office Visits | $20 | $21 | $23 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $39 | $48 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $47 | $47 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $70 | $71 | $73 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $132 | $150 | $168 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $80 | $95 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $121 | $125 | $129 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $190 | $219 | $248 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $39 | $41 | $43 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $71 | $91 | $111 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $101 | $123 | $144 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $70 | $73 | $75 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $102 | $102 | $103 |
| Consultation office low complexity CPT 99243 • Office Visits | $132 | $132 | $132 |
| Consultation office high complexity CPT 99245 • Office Visits | $203 | $203 | $203 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $571 | $664 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $49 | $49 | $49 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,047 | $1,047 | $1,047 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $245 | $273 | $300 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,038 | $1,038 | $1,038 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $554 | $554 | $554 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $296 | $327 | $359 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $663 | $803 | $942 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $355 | $515 | $675 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $152 | $161 | $171 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,424 | $1,424 | $1,424 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $515 | $554 | $593 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $357 | $643 | $930 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $525 | $525 | $525 |
| Excision chalazion single CPT 67800 • Ophthalmology | $93 | $93 | $93 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $513 | $513 | $513 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $130 | $130 | $130 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $46 | $46 | $46 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $134 | $140 | $147 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $75 | $81 | $88 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $74 | $99 | $124 |
| Visual field examination CPT 92083 • Ophthalmology | $62 | $69 | $77 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $26 | $36 | $47 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $29 | $54 | $80 |
| Fundus photography CPT 92250 • Ophthalmology | $36 | $53 | $69 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $40 | $40 | $40 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $57 | $57 | $57 |