| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $69 | $128 | $190 |
| EMG needle each extremity complete CPT 95886 • Neurology | $35 | $77 | $148 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $49 | $88 | $117 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $107 | $160 | $216 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $74 | $150 | $223 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $70 | $192 | $293 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $176 | $386 | $561 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $85 | $103 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $73 | $105 | $149 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $129 | $182 | $229 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $154 | $213 | $286 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $20 | $33 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $47 | $62 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $41 | $62 | $100 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $101 | $149 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $95 | $142 | $200 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $120 | $174 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $152 | $198 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $147 | $212 | $292 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $44 | $60 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $97 | $156 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $123 | $156 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $64 | $102 | $156 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $94 | $128 | $157 |
| Consultation office low complexity CPT 99243 • Office Visits | $73 | $143 | $203 |
| Consultation office high complexity CPT 99245 • Office Visits | $142 | $244 | $308 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $388 | $727 | $966 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $55 | $98 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $663 | $1,359 | $1,907 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $264 | $371 | $477 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $648 | $1,261 | $1,764 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $661 | $857 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $259 | $434 | $621 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $813 | $1,082 | $1,476 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $640 | $941 | $1,066 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $154 | $187 | $236 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $198 | $1,426 | $2,204 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $681 | $822 | $951 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $478 | $891 | $1,601 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $328 | $516 | $815 |
| Excision chalazion single CPT 67800 • Ophthalmology | $95 | $152 | $209 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $30 | $408 | $790 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $108 | $163 | $237 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $30 | $59 | $129 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $54 | $111 | $231 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $27 | $56 | $135 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $93 | $193 |
| Visual field examination CPT 92083 • Ophthalmology | $29 | $39 | $52 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $10 | $30 | $62 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $17 | $55 | $95 |