| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $65 | $157 | $317 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $67 | $210 | $414 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $157 | $334 | $670 |
| EEG monitoring continuous 24 hours CPT 95950 • Neurology | $116 | $116 | $116 |
| EEG monitoring continuous 24 hours with video CPT 95951 • Neurology | $1,199 | $1,199 | $1,199 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $64 | $116 | $182 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $65 | $145 | $258 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $85 | $232 | $390 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $142 | $327 | $490 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $30 | $64 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $84 | $117 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $90 | $132 | $185 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $69 | $148 | $260 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $102 | $250 | $365 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $82 | $138 | $265 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $222 | $324 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $163 | $292 | $477 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $40 | $78 | $176 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $81 | $123 | $176 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $96 | $172 | $261 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $70 | $115 | $177 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $79 | $182 | $253 |
| Consultation office straightforward CPT 99241 • Office Visits | $55 | $68 | $80 |
| Consultation office low complexity CPT 99243 • Office Visits | $51 | $170 | $289 |
| Consultation office high complexity CPT 99245 • Office Visits | $110 | $319 | $526 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $481 | $964 | $1,758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $40 | $65 | $124 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $966 | $1,770 | $3,740 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $189 | $410 | $781 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,017 | $1,869 | $3,463 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $403 | $813 | $1,600 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $295 | $491 | $949 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $614 | $1,135 | $2,362 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $566 | $941 | $1,724 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $65 | $162 | $361 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $298 | $1,797 | $3,767 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $538 | $886 | $1,636 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $294 | $540 | $1,079 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $477 | $794 | $1,443 |
| Excision chalazion single CPT 67800 • Ophthalmology | $88 | $193 | $411 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $640 | $1,197 | $2,536 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $86 | $220 | $466 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $83 | $131 | $224 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $96 | $211 | $347 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $31 | $130 | $235 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $70 | $174 | $332 |
| Visual field examination CPT 92083 • Ophthalmology | $12 | $69 | $98 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $18 | $36 | $56 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $29 | $65 | $124 |
| Fundus photography CPT 92250 • Ophthalmology | $36 | $49 | $77 |