| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $69 | $142 | $287 |
| EMG needle each extremity complete CPT 95886 • Neurology | $54 | $88 | $151 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $37 | $77 | $104 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $62 | $115 | $209 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $76 | $148 | $249 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $99 | $200 | $293 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $238 | $328 | $505 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $51 | $68 | $93 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $77 | $111 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $159 | $296 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $198 | $391 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $17 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $37 | $61 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $56 | $93 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $80 | $110 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $144 | $319 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $109 | $174 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $173 | $234 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $147 | $237 | $318 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $59 | $99 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $59 | $82 | $124 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $131 | $204 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $64 | $86 | $124 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $94 | $139 | $199 |
| Consultation office low complexity CPT 99243 • Office Visits | $73 | $122 | $154 |
| Consultation office high complexity CPT 99245 • Office Visits | $142 | $234 | $282 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $565 | $701 | $941 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $24 | $59 | $115 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $663 | $1,284 | $1,907 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $248 | $341 | $411 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $164 | $1,080 | $1,764 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $487 | $627 | $966 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $259 | $344 | $493 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $750 | $1,015 | $1,339 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $548 | $721 | $1,075 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $92 | $176 | $228 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,191 | $1,678 | $2,122 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $521 | $727 | $833 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $343 | $684 | $1,074 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $458 | $647 | $900 |
| Excision chalazion single CPT 67800 • Ophthalmology | $85 | $135 | $213 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $493 | $779 | $1,129 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $108 | $158 | $245 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $82 | $137 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $68 | $114 | $250 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $84 | $144 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $90 | $208 |
| Visual field examination CPT 92083 • Ophthalmology | $15 | $57 | $105 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $13 | $34 | $69 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $39 | $81 | $128 |