| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $127 | $139 | $168 |
| EMG needle each extremity complete CPT 95886 • Neurology | $41 | $80 | $128 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $54 | $94 | $170 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $38 | $105 | $211 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $63 | $111 | $179 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $108 | $182 | $271 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $163 | $238 | $382 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $53 | $71 | $101 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $99 | $155 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $133 | $232 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $178 | $306 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $21 | $31 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $21 | $34 | $43 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $70 | $126 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $95 | $179 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $142 | $250 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $75 | $186 | $427 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $95 | $133 | $186 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $135 | $205 | $273 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $40 | $45 | $52 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $55 | $75 | $98 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $81 | $105 | $141 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $72 | $88 | $109 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $107 | $129 | $153 |
| Consultation office low complexity CPT 99243 • Office Visits | $96 | $138 | $166 |
| Consultation office high complexity CPT 99245 • Office Visits | $120 | $238 | $303 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $303 | $636 | $879 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $46 | $69 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $894 | $1,264 | $1,615 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $233 | $329 | $422 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $132 | $1,051 | $1,504 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $464 | $630 | $777 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $220 | $404 | $559 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $980 | $1,129 | $1,338 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $704 | $818 | $962 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $55 | $169 | $264 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $168 | $1,327 | $2,020 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $489 | $665 | $840 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $406 | $871 | $1,491 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $443 | $641 | $822 |
| Excision chalazion single CPT 67800 • Ophthalmology | $102 | $132 | $179 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $271 | $693 | $1,117 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $139 | $167 | $208 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $42 | $65 | $120 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $52 | $104 | $209 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $26 | $59 | $125 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $45 | $105 | $176 |
| Visual field examination CPT 92083 • Ophthalmology | $33 | $47 | $58 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $11 | $24 | $34 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $34 | $48 | $60 |