| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $94 | $597 | $1,461 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $82 | $167 | $368 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $37 | $208 | $531 |
| EMG needle each extremity complete CPT 95886 • Neurology | $59 | $144 | $324 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $57 | $148 | $294 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $47 | $149 | $367 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $84 | $195 | $440 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $115 | $251 | $575 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $130 | $349 | $930 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $72 | $97 | $168 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $80 | $147 | $253 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $168 | $225 | $353 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $221 | $295 | $448 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $25 | $35 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $52 | $65 | $100 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $91 | $104 | $137 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $115 | $148 | $214 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $148 | $202 | $309 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $82 | $144 | $175 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $129 | $190 | $289 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $199 | $292 | $402 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $44 | $62 | $88 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $74 | $102 | $142 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $90 | $142 | $206 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $80 | $116 | $180 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $101 | $160 | $249 |
| Consultation office straightforward CPT 99241 • Office Visits | $111 | $111 | $111 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $181 | $318 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $337 | $578 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $550 | $1,138 | $1,718 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $50 | $85 | $101 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $585 | $2,247 | $3,738 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $395 | $547 | $791 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,481 | $2,238 | $3,485 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $539 | $896 | $1,168 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $209 | $572 | $970 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $727 | $1,371 | $2,368 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $319 | $999 | $1,730 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $192 | $277 | $363 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,837 | $2,453 | $3,773 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $283 | $1,007 | $1,651 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $662 | $965 | $1,159 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $359 | $904 | $1,539 |
| Excision chalazion single CPT 67800 • Ophthalmology | $151 | $239 | $415 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $860 | $1,611 | $2,602 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $147 | $261 | $480 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $61 | $166 | $342 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $61 | $239 | $415 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $53 | $154 | $333 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $61 | $197 | $364 |