| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $68 | $101 | $138 |
| EMG needle each extremity complete CPT 95886 • Neurology | $45 | $96 | $191 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $52 | $87 | $100 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $67 | $103 | $161 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $80 | $129 | $193 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $83 | $146 | $169 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $144 | $300 | $546 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $58 | $80 | $101 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $123 | $141 | $181 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $144 | $168 | $188 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $160 | $238 | $363 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $34 | $40 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $48 | $53 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $64 | $96 | $176 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $80 | $124 | $171 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $139 | $160 | $169 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $127 | $142 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $107 | $188 | $329 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $168 | $254 | $354 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $44 | $68 | $90 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $77 | $91 | $101 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $80 | $116 | $143 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $79 | $95 | $115 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $111 | $135 | $169 |
| Consultation office low complexity CPT 99243 • Office Visits | $110 | $141 | $216 |
| Consultation office high complexity CPT 99245 • Office Visits | $179 | $249 | $354 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $618 | $775 | $1,045 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $43 | $50 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $905 | $1,264 | $1,593 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $236 | $289 | $346 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $46 | $749 | $1,464 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $543 | $626 | $749 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $181 | $286 | $324 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $574 | $849 | $1,138 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $418 | $631 | $953 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $100 | $120 | $133 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $46 | $1,116 | $1,614 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $397 | $551 | $692 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $146 | $306 | $412 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $521 | $635 | $800 |
| Excision chalazion single CPT 67800 • Ophthalmology | $112 | $140 | $172 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $46 | $592 | $865 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $114 | $147 | $160 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $56 | $70 | $82 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $75 | $117 | $166 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $44 | $82 | $119 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $81 | $138 | $189 |
| Visual field examination CPT 92083 • Ophthalmology | $52 | $69 | $89 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $17 | $35 | $71 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $42 | $52 | $82 |