| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $75 | $362 | $699 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $46 | $117 | $197 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $35 | $156 | $301 |
| EMG needle each extremity complete CPT 95886 • Neurology | $40 | $84 | $160 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $37 | $113 | $204 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $62 | $128 | $200 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $128 | $172 | $240 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $99 | $203 | $316 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $157 | $323 | $502 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $83 | $125 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $73 | $125 | $178 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $129 | $208 | $273 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $142 | $219 | $345 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $23 | $38 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $49 | $75 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $56 | $84 | $124 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $131 | $197 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $114 | $191 | $289 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $111 | $171 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $124 | $177 | $231 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $172 | $257 | $340 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $47 | $66 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $95 | $121 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $123 | $175 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $78 | $102 | $122 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $106 | $130 | $179 |
| Consultation office low complexity CPT 99243 • Office Visits | $90 | $149 | $206 |
| Consultation office high complexity CPT 99245 • Office Visits | $142 | $232 | $377 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $565 | $732 | $1,018 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $24 | $84 | $175 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,197 | $1,884 | $2,878 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $345 | $565 | $867 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $144 | $1,393 | $3,016 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $487 | $955 | $1,558 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $259 | $476 | $796 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $526 | $1,344 | $2,693 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $640 | $1,189 | $1,945 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $173 | $232 | $296 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $226 | $1,886 | $4,054 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $549 | $858 | $1,343 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $478 | $1,359 | $2,666 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $458 | $925 | $1,534 |
| Excision chalazion single CPT 67800 • Ophthalmology | $95 | $183 | $327 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $319 | $911 | $1,920 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $108 | $200 | $377 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $105 | $154 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $72 | $194 | $283 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $74 | $162 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $136 | $235 |
| Visual field examination CPT 92083 • Ophthalmology | $55 | $99 | $178 |