| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $60 | $210 | $545 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $60 | $199 | $467 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $79 | $110 | $164 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $71 | $105 | $162 |
| EMG needle each extremity complete CPT 95886 • Neurology | $54 | $87 | $143 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $45 | $87 | $132 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $50 | $113 | $164 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $83 | $178 | $275 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $129 | $186 | $257 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $334 | $367 | $420 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $71 | $83 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $87 | $123 | $179 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $129 | $192 | $229 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $171 | $240 | $355 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $24 | $38 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $29 | $58 | $88 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $56 | $80 | $105 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $120 | $231 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $114 | $184 | $241 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $116 | $173 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $124 | $201 | $282 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $172 | $260 | $392 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $45 | $59 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $60 | $115 | $214 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $135 | $214 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $78 | $127 | $214 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $90 | $155 | $241 |
| Consultation office straightforward CPT 99241 • Office Visits | $58 | $58 | $58 |
| Consultation office low complexity CPT 99243 • Office Visits | $85 | $142 | $194 |
| Consultation office high complexity CPT 99245 • Office Visits | $224 | $265 | $290 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $602 | $678 | $794 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $45 | $70 | $103 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,105 | $1,372 | $1,788 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $283 | $331 | $367 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,019 | $1,532 | $1,904 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $487 | $786 | $1,198 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $369 | $570 | $1,095 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $723 | $1,129 | $1,780 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $585 | $712 | $964 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $95 | $142 | $173 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,354 | $2,118 | $3,925 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $681 | $966 | $1,692 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $294 | $907 | $1,888 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $458 | $688 | $900 |
| Excision chalazion single CPT 67800 • Ophthalmology | $84 | $170 | $312 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $493 | $822 | $1,129 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $108 | $211 | $369 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $61 | $86 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $72 | $128 | $173 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $30 | $98 | $144 |