| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $67 | $228 | $539 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $103 | $321 | $709 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $103 | $492 | $1,128 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $36 | $108 | $216 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $63 | $160 | $306 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $102 | $234 | $468 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $139 | $316 | $592 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $31 | $66 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $27 | $34 | $41 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $61 | $103 | $214 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $74 | $170 | $311 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $110 | $235 | $418 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $63 | $150 | $290 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $99 | $208 | $394 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $133 | $177 | $209 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $63 | $113 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $60 | $113 | $208 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $90 | $111 | $143 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $62 | $104 | $210 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $88 | $108 | $137 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $56 | $164 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $217 | $646 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $534 | $826 | $1,038 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $31 | $224 | $795 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $737 | $846 | $1,008 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $157 | $333 | $795 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $795 | $1,121 | $1,630 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $433 | $578 | $795 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $166 | $349 | $795 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $635 | $924 | $1,156 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $464 | $806 | $1,156 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $97 | $343 | $795 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $795 | $1,283 | $2,152 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $240 | $492 | $795 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $262 | $412 | $795 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $390 | $621 | $795 |
| Excision chalazion single CPT 67800 • Ophthalmology | $88 | $345 | $795 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $675 | $783 | $878 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $79 | $287 | $795 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $157 | $388 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $78 | $288 | $693 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $49 | $177 | $406 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $105 | $270 | $580 |
| Visual field examination CPT 92083 • Ophthalmology | $31 | $128 | $289 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $15 | $88 | $187 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $30 | $47 | $71 |
| Fundus photography CPT 92250 • Ophthalmology | $17 | $26 | $31 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $31 | $293 | $795 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $27 | $231 | $795 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $29 | $293 | $795 |