| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $134 | $304 | $474 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $172 | $363 | $554 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $41 | $41 | $41 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $128 | $128 | $128 |
| EMG needle each extremity complete CPT 95886 • Neurology | $59 | $85 | $112 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $104 | $109 | $115 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $81 | $106 | $131 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $157 | $163 | $169 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $94 | $150 | $205 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $331 | $349 | $367 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $52 | $75 | $97 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $80 | $109 | $138 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $151 | $181 | $211 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $159 | $206 | $253 |
| Office visit established patient minimal CPT 99211 • Office Visits | $23 | $29 | $35 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $27 | $46 | $66 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $58 | $77 | $96 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $66 | $103 | $140 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $133 | $160 | $188 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $76 | $76 | $76 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $120 | $123 | $126 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $161 | $168 | $175 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $38 | $42 | $45 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $62 | $67 | $73 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $88 | $99 | $110 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $78 | $79 | $79 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $108 | $110 | $111 |
| Consultation office low complexity CPT 99243 • Office Visits | $5 | $63 | $121 |
| Consultation office high complexity CPT 99245 • Office Visits | $223 | $235 | $246 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $693 | $694 | $696 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $41 | $59 | $77 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,056 | $1,155 | $1,253 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $268 | $323 | $377 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,128 | $1,128 | $1,128 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $605 | $605 | $605 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $331 | $387 | $443 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $674 | $882 | $1,089 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $496 | $659 | $822 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $125 | $156 | $187 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,055 | $1,351 | $1,648 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $565 | $627 | $688 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $371 | $748 | $1,125 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $421 | $505 | $590 |
| Excision chalazion single CPT 67800 • Ophthalmology | $113 | $128 | $144 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $582 | $582 | $582 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $124 | $142 | $159 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $53 | $74 | $95 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $101 | $133 | $165 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $71 | $86 | $101 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $68 | $104 | $141 |