| EMG needle each extremity complete CPT 95886 • Neurology | $43 | $72 | $99 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $43 | $76 | $107 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $73 | $109 | $132 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $82 | $136 | $158 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $100 | $176 | $207 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $193 | $293 | $341 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $72 | $80 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $80 | $103 | $132 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $129 | $171 | $200 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $171 | $196 | $252 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $22 | $45 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $27 | $42 | $56 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $56 | $73 | $92 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $108 | $133 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $114 | $147 | $178 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $115 | $175 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $124 | $146 | $175 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $172 | $201 | $242 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $53 | $83 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $74 | $87 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $110 | $125 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $77 | $81 | $88 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $106 | $114 | $129 |
| Consultation office low complexity CPT 99243 • Office Visits | $94 | $126 | $154 |
| Consultation office high complexity CPT 99245 • Office Visits | $187 | $232 | $273 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $575 | $774 | $1,289 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $31 | $49 | $66 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,091 | $1,446 | $2,335 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $220 | $291 | $345 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,019 | $1,184 | $1,431 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $412 | $515 | $678 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $314 | $368 | $463 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $813 | $1,033 | $1,477 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $640 | $779 | $1,075 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $105 | $134 | $173 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $259 | $1,106 | $1,516 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $546 | $715 | $980 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $361 | $756 | $1,124 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $458 | $610 | $782 |
| Excision chalazion single CPT 67800 • Ophthalmology | $95 | $140 | $210 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $483 | $622 | $809 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $96 | $126 | $156 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $73 | $88 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $72 | $133 | $159 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $56 | $87 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $48 | $97 | $133 |
| Visual field examination CPT 92083 • Ophthalmology | $39 | $66 | $95 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $15 | $32 | $48 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $30 | $59 | $93 |
| Fundus photography CPT 92250 • Ophthalmology | $23 | $56 | $83 |