| EMG needle each extremity complete CPT 95886 • Neurology | $97 | $97 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $85 | $87 | $89 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $106 | $108 | $111 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $55 | $91 | $127 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $166 | $170 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $270 | $278 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $55 | $69 | $92 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $91 | $112 | $133 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $130 | $133 | $135 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $171 | $175 | $178 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $22 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $43 | $51 | $56 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $35 | $78 | $113 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $99 | $107 | $122 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $145 | $162 | $178 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $105 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $124 | $147 | $170 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $135 | $166 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $40 | $85 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $84 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $92 | $112 | $129 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $63 | $90 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $89 | $109 | $129 |
| Consultation office low complexity CPT 99243 • Office Visits | $96 | $117 | $145 |
| Consultation office high complexity CPT 99245 • Office Visits | $180 | $212 | $254 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $601 | $601 | $601 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $37 | $37 | $37 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,130 | $1,130 | $1,130 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $197 | $197 | $197 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,047 | $1,066 | $1,084 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $491 | $500 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $285 | $539 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $112 | $112 | $112 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $30 | $605 | $1,179 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $495 | $503 | $510 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $326 | $332 | $337 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $462 | $462 | $462 |
| Excision chalazion single CPT 67800 • Ophthalmology | $128 | $128 | $128 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $783 | $783 | $783 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $30 | $30 | $30 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $83 | $83 | $83 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $93 | $93 | $93 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $74 | $74 | $74 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $104 | $104 | $104 |
| Visual field examination CPT 92083 • Ophthalmology | $26 | $26 | $26 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $24 | $29 | $34 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $39 | $44 | $48 |
| Fundus photography CPT 92250 • Ophthalmology | $31 | $31 | $31 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $35 | $35 | $35 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $53 | $53 | $53 |