| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $42 | $165 | $574 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $65 | $225 | $699 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $65 | $214 | $416 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $93 | $346 | $678 |
| EEG monitoring continuous 24 hours CPT 95950 • Neurology | $102 | $102 | $102 |
| EEG monitoring continuous 24 hours with video CPT 95951 • Neurology | $3,152 | $3,152 | $3,152 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $39 | $105 | $177 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $84 | $141 | $229 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $85 | $248 | $408 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $144 | $348 | $552 |
| Office visit established patient minimal CPT 99211 • Office Visits | $7 | $32 | $57 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $32 | $71 | $117 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $120 | $185 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $69 | $157 | $262 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $102 | $279 | $452 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $68 | $141 | $198 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $211 | $314 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $163 | $302 | $418 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $50 | $70 | $110 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $66 | $106 | $175 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $98 | $184 | $285 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $67 | $127 | $214 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $95 | $166 | $280 |
| Consultation office straightforward CPT 99241 • Office Visits | $80 | $85 | $90 |
| Consultation office low complexity CPT 99243 • Office Visits | $51 | $157 | $251 |
| Consultation office high complexity CPT 99245 • Office Visits | $170 | $336 | $468 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $480 | $1,063 | $1,678 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $68 | $115 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $930 | $2,164 | $3,738 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $189 | $511 | $860 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $194 | $2,011 | $3,485 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $481 | $959 | $1,595 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $285 | $570 | $970 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $633 | $1,242 | $2,368 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $503 | $1,120 | $1,730 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $89 | $200 | $363 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $227 | $1,882 | $3,773 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $396 | $905 | $1,651 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $245 | $854 | $1,705 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $425 | $883 | $1,539 |
| Excision chalazion single CPT 67800 • Ophthalmology | $82 | $217 | $415 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $455 | $1,248 | $2,602 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $94 | $257 | $480 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $55 | $135 | $342 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $55 | $241 | $415 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $55 | $130 | $333 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $55 | $167 | $364 |
| Visual field examination CPT 92083 • Ophthalmology | $33 | $95 | $182 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $18 | $55 | $117 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $47 | $94 | $151 |