| EMG needle each extremity complete CPT 95886 • Neurology | $49 | $91 | $139 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $74 | $124 | $225 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $93 | $115 | $123 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $111 | $138 | $148 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $103 | $233 | $450 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $148 | $296 | $457 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $60 | $117 | $165 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $109 | $196 | $255 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $132 | $287 | $381 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $237 | $361 | $505 |
| Office visit established patient minimal CPT 99211 • Office Visits | $12 | $38 | $52 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $51 | $90 | $128 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $81 | $135 | $207 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $125 | $217 | $292 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $176 | $293 | $412 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $118 | $180 | $228 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $161 | $243 | $307 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $237 | $357 | $451 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $47 | $70 | $88 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $86 | $128 | $162 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $123 | $184 | $233 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $84 | $129 | $163 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $124 | $189 | $238 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $185 | $273 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $340 | $499 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $563 | $1,121 | $1,536 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $76 | $96 | $111 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,788 | $2,489 | $2,848 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $291 | $462 | $599 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $218 | $1,781 | $2,634 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $966 | $1,120 | $1,228 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $212 | $528 | $740 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,200 | $1,593 | $1,803 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $772 | $1,088 | $1,314 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $154 | $217 | $275 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,060 | $2,148 | $2,885 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $779 | $1,083 | $1,250 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $429 | $646 | $821 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $408 | $977 | $1,435 |
| Excision chalazion single CPT 67800 • Ophthalmology | $145 | $240 | $316 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $1,129 | $1,561 | $1,991 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $105 | $244 | $368 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $86 | $144 | $202 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $132 | $233 | $347 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $90 | $151 | $209 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $127 | $213 | $295 |
| Visual field examination CPT 92083 • Ophthalmology | $53 | $68 | $89 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $23 | $45 | $81 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $48 | $57 | $67 |
| Fundus photography CPT 92250 • Ophthalmology | $29 | $37 | $44 |