| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $58 | $58 | $58 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $161 | $161 | $161 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $122 | $122 | $122 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $217 | $217 | $217 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $72 | $72 | $72 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $106 | $106 | $106 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $151 | $151 | $151 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $192 | $192 | $192 |
| Office visit established patient minimal CPT 99211 • Office Visits | $23 | $23 | $23 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $42 | $42 | $42 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $58 | $58 | $58 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $91 | $91 | $91 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $132 | $132 | $132 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $75 | $75 | $75 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $125 | $125 | $125 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $174 | $174 | $174 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $37 | $37 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $62 | $62 | $62 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $88 | $88 | $88 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $78 | $78 | $78 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $107 | $107 | $107 |
| Consultation office low complexity CPT 99243 • Office Visits | $134 | $134 | $134 |
| Consultation office high complexity CPT 99245 • Office Visits | $245 | $245 | $245 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $600 | $600 | $600 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $67 | $67 | $67 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,145 | $1,145 | $1,145 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $380 | $380 | $380 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,039 | $1,039 | $1,039 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $553 | $553 | $553 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $403 | $403 | $403 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,000 | $1,000 | $1,000 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $761 | $761 | $761 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $372 | $372 | $372 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,608 | $1,608 | $1,608 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $643 | $643 | $643 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $1,000 | $1,000 | $1,000 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $553 | $553 | $553 |
| Excision chalazion single CPT 67800 • Ophthalmology | $162 | $162 | $162 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $569 | $569 | $569 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $197 | $197 | $197 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $67 | $67 | $67 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $122 | $122 | $122 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $61 | $61 | $61 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $90 | $90 | $90 |
| Visual field examination CPT 92083 • Ophthalmology | $39 | $39 | $39 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $31 | $31 | $31 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $54 | $54 | $54 |
| Fundus photography CPT 92250 • Ophthalmology | $24 | $24 | $24 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $56 | $56 | $56 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $62 | $62 | $62 |