| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $56 | $299 | $518 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $53 | $350 | $596 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $70 | $113 | $163 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $78 | $108 | $196 |
| EMG needle each extremity complete CPT 95886 • Neurology | $37 | $69 | $128 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $43 | $68 | $110 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $45 | $90 | $143 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $67 | $116 | $179 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $87 | $178 | $334 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $152 | $280 | $382 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $39 | $79 | $128 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $65 | $118 | $185 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $105 | $181 | $285 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $144 | $233 | $355 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $21 | $36 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $53 | $76 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $85 | $126 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $69 | $120 | $184 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $102 | $169 | $248 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $110 | $175 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $159 | $238 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $30 | $182 | $349 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $50 | $69 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $86 | $125 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $125 | $179 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $69 | $90 | $124 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $99 | $129 | $183 |
| Consultation office straightforward CPT 99241 • Office Visits | $53 | $53 | $53 |
| Consultation office low complexity CPT 99243 • Office Visits | $51 | $135 | $215 |
| Consultation office high complexity CPT 99245 • Office Visits | $110 | $247 | $389 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $515 | $938 | $2,601 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $33 | $368 | $1,928 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $993 | $2,740 | $10,761 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $189 | $665 | $2,619 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $288 | $1,787 | $6,331 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $423 | $1,554 | $6,331 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $219 | $756 | $2,619 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $628 | $1,735 | $6,331 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $458 | $1,639 | $6,331 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $89 | $435 | $1,928 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,006 | $3,046 | $10,761 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $435 | $982 | $2,619 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $285 | $1,246 | $3,054 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $425 | $1,652 | $6,331 |
| Excision chalazion single CPT 67800 • Ophthalmology | $95 | $443 | $1,928 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $493 | $1,796 | $6,331 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $108 | $469 | $1,928 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $71 | $136 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $72 | $131 | $253 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $73 | $144 |