| EMG needle each extremity complete CPT 95886 • Neurology | $111 | $129 | $159 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $41 | $81 | $126 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $66 | $97 | $127 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $91 | $141 | $226 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $121 | $211 | $268 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $215 | $289 | $399 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $73 | $105 | $152 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $86 | $139 | $186 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $146 | $218 | $281 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $194 | $312 | $457 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $31 | $49 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $45 | $77 | $118 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $57 | $101 | $135 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $88 | $138 | $199 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $125 | $234 | $371 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $85 | $108 | $127 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $134 | $158 | $188 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $178 | $224 | $269 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $45 | $57 | $76 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $81 | $86 | $97 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $117 | $137 | $173 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $80 | $96 | $126 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $117 | $135 | $171 |
| Consultation office low complexity CPT 99243 • Office Visits | $116 | $129 | $150 |
| Consultation office high complexity CPT 99245 • Office Visits | $220 | $225 | $229 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $375 | $1,001 | $1,878 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $50 | $146 | $375 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,069 | $2,989 | $4,908 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $238 | $299 | $375 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,016 | $1,967 | $2,846 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $2,846 | $2,846 | $2,846 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $56 | $260 | $423 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $471 | $1,803 | $2,846 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $689 | $1,875 | $2,846 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $106 | $130 | $146 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,073 | $3,185 | $4,908 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $434 | $512 | $638 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $283 | $387 | $474 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $870 | $1,637 | $2,404 |
| Excision chalazion single CPT 67800 • Ophthalmology | $112 | $145 | $177 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $2,404 | $2,404 | $2,404 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $65 | $140 | $213 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $80 | $89 | $97 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $136 | $158 | $171 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $63 | $81 | $102 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $115 | $132 | $144 |
| Visual field examination CPT 92083 • Ophthalmology | $39 | $70 | $94 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $20 | $29 | $40 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $18 | $28 | $37 |
| Fundus photography CPT 92250 • Ophthalmology | $18 | $27 | $35 |