| Lumbar puncture diagnostic CPT 62270 • Neurology | $56 | $96 | $136 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $109 | $158 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $134 | $142 | $155 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $331 | $349 | $367 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $59 | $214 | $368 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $53 | $91 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $75 | $131 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $70 | $82 | $94 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $88 | $114 | $164 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $111 | $112 | $112 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $60 | $109 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $110 | $153 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $281 | $295 | $319 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $48 | $59 | $71 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $83 | $85 | $88 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $135 | $146 | $164 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $176 | $316 | $558 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $24 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $44 | $80 | $142 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $111 | $230 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $153 | $327 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $143 | $163 | $184 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $139 | $251 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $132 | $133 | $135 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $174 | $187 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $81 | $88 | $95 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $97 | $179 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $82 | $119 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $64 | $82 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $101 | $165 | $265 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $134 | $238 |
| Consultation office high complexity CPT 99245 • Office Visits | $182 | $211 | $255 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $478 | $505 | $531 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $44 | $59 | $73 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,015 | $1,167 | $1,319 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $279 | $280 | $280 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $1,047 | $1,884 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $697 | $1,040 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $341 | $377 | $412 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $641 | $739 | $837 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $472 | $774 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $30 | $189 | $409 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $30 | $541 | $1,335 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $30 | $544 | $1,021 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $30 | $276 | $413 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $623 | $647 | $671 |
| Excision chalazion single CPT 67800 • Ophthalmology | $30 | $105 | $145 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $586 | $757 | $912 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $160 | $165 | $170 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $79 | $82 | $86 |