| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $90 | $246 | $456 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $63 | $85 | $100 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $80 | $143 | $255 |
| EMG needle each extremity complete CPT 95886 • Neurology | $52 | $73 | $104 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $84 | $111 | $164 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $47 | $100 | $132 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $78 | $119 | $158 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $99 | $151 | $207 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $103 | $339 | $467 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $72 | $100 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $87 | $124 | $184 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $129 | $179 | $275 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $171 | $247 | $362 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $21 | $39 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $29 | $54 | $93 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $56 | $87 | $126 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $131 | $211 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $114 | $186 | $296 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $106 | $132 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $124 | $156 | $209 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $172 | $220 | $279 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $50 | $79 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $86 | $127 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $125 | $190 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $69 | $91 | $131 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $102 | $129 | $185 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $108 | $184 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $200 | $341 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $614 | $816 | $978 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $56 | $74 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $737 | $1,256 | $1,914 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $203 | $326 | $399 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,019 | $1,418 | $1,777 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $487 | $621 | $828 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $235 | $390 | $485 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $813 | $1,067 | $1,207 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $640 | $787 | $882 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $136 | $180 | $227 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,175 | $1,549 | $1,920 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $495 | $688 | $837 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $300 | $760 | $1,255 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $458 | $628 | $743 |
| Excision chalazion single CPT 67800 • Ophthalmology | $95 | $148 | $213 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $493 | $764 | $959 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $108 | $168 | $237 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $60 | $85 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $72 | $142 | $244 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $62 | $89 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $128 | $206 |
| Visual field examination CPT 92083 • Ophthalmology | $39 | $72 | $98 |