| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $56 | $376 | $585 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $52 | $337 | $583 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $49 | $114 | $275 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $74 | $163 | $262 |
| EMG needle each extremity complete CPT 95886 • Neurology | $41 | $120 | $242 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $44 | $105 | $220 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $48 | $129 | $274 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $61 | $157 | $329 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $96 | $226 | $430 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $105 | $324 | $695 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $53 | $87 | $165 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $76 | $118 | $255 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $85 | $199 | $381 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $183 | $273 | $508 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $29 | $67 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $58 | $128 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $45 | $96 | $207 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $85 | $138 | $292 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $128 | $229 | $412 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $82 | $121 | $228 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $98 | $151 | $307 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $172 | $230 | $451 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $38 | $57 | $88 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $66 | $93 | $162 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $92 | $126 | $233 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $65 | $94 | $163 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $95 | $127 | $238 |
| Consultation office straightforward CPT 99241 • Office Visits | $80 | $80 | $80 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $135 | $273 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $288 | $546 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $590 | $792 | $1,223 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $42 | $56 | $68 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $726 | $1,293 | $2,036 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $250 | $337 | $449 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $171 | $1,135 | $1,886 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $539 | $644 | $869 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $219 | $390 | $519 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $435 | $890 | $1,287 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $603 | $743 | $939 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $116 | $164 | $200 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $154 | $1,313 | $2,055 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $462 | $627 | $892 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $346 | $639 | $1,097 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $508 | $628 | $832 |
| Excision chalazion single CPT 67800 • Ophthalmology | $68 | $141 | $223 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $543 | $931 | $1,389 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $111 | $168 | $257 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $34 | $91 | $136 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $63 | $165 | $245 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $35 | $86 | $143 |