| Row | Operation Code | Explanation of Code | Fee in Dollars |
| 1 | 401830 | Cholecystectomy | 2,703 |
| 2 | 501820 | Hysterectomy | 2,656 |
| 3 | 601060 | Laminotomy | 2,806 |
| 4 | 402145 | Hernia surgery | 2,385 |
| 5 | 300070 | Septorhynoplasty | 2,480 |
| 6 | 100446 | Double eyelid blepharoplasty | 2,210 |
| 7 | 100446 | Blepharoplasty of four eyelids | 2,782 |
| 8 | 300065 | Rhinoplasty | 2,170 |
| 9 | 502155 | Normal delivery | 2,023 |
| 10 | 502170 | Cesarian section/ Curretage | 2,071 |
| 11 | 501610 | Cystocele repair surgery | 1,815 |
| 12 | 501610 | Rectocele repair surgery | 1,815 |
| 13 | 807231 | Mammoplasty surgery | 2,232 |
| 14 | 204125 | Tendon repair surgery | 1,723 |
| 15 | 203050 | Hip joint replacement | 2,675 |
| 16 | 202860 | Total Hip Arthroplasty | 2,624 |
| 17 | 602235 | Cataract surgery | 1,980 |
| 18 | 602125 | Glaucoma surgery | 2,211 |
| 19 | 100471 | Abdomino plasty | 2,499 |
| 20 | 501825 | Gynecologic Lapraoscopy | 2,723 |
| 21 | 401815 | Laproscopic Cholecystectomy | 2,408 |
| 22 | 204920 | Knee Arthroscopy + acl | 2,548 |
| 23 | 204930 | Ankle Arthroscopy | 1,934 |
| 24 | 204725 | Shoulder Arthroscopy | 2,264 |
| 25 | 302025 | Ream Gama Nail | 2,941 |
| 26 | 501615 | Antero and Posterior Repair | 1,928 |
| 27 | 100765 | Breast Prosthese | 2,282 |
| 28 | 100526 | Fat Injection | 1,801 |
| 29 | 500186 | Transurethral Lithotripsy | 2,391 |
| 30 | 500690 | Transurethral Resecetion of the Prostate | 2,120 |
| 31 | 201157 | Lumbar Spinal Fusion | 4,414 |
| 32 | 502055 | Gynecologic laparatomy | 2,450 |
