| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $57 | $92 | $143 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $90 | $104 | $130 |
| EMG needle each extremity complete CPT 95886 • Neurology | $37 | $79 | $183 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $37 | $108 | $170 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $62 | $134 | $211 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $128 | $180 | $254 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $99 | $208 | $332 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $278 | $365 | $544 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $51 | $77 | $148 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $76 | $126 | $221 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $122 | $200 | $322 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $171 | $240 | $409 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $26 | $50 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $32 | $52 | $88 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $44 | $76 | $125 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $133 | $210 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $95 | $185 | $295 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $132 | $180 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $101 | $152 | $263 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $135 | $211 | $366 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $53 | $77 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $59 | $79 | $130 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $132 | $184 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $63 | $129 | $254 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $94 | $135 | $218 |
| Consultation office low complexity CPT 99243 • Office Visits | $73 | $172 | $289 |
| Consultation office high complexity CPT 99245 • Office Visits | $142 | $310 | $508 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $614 | $674 | $757 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $42 | $46 | $54 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $992 | $1,060 | $1,105 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $331 | $361 | $408 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $667 | $909 | $1,040 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $487 | $736 | $1,208 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $374 | $403 | $445 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $813 | $1,021 | $1,252 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $640 | $867 | $1,209 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $127 | $163 | $187 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $227 | $1,204 | $2,004 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $613 | $706 | $824 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $245 | $639 | $935 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $338 | $488 | $668 |
| Excision chalazion single CPT 67800 • Ophthalmology | $74 | $85 | $95 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $458 | $530 | $640 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $86 | $115 | $150 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $84 | $162 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $72 | $175 | $306 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $83 | $155 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $115 | $229 |
| Visual field examination CPT 92083 • Ophthalmology | $12 | $50 | $86 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $16 | $29 | $43 |