| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $72 | $244 | $416 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $56 | $56 | $56 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $176 | $176 | $176 |
| EMG needle each extremity complete CPT 95886 • Neurology | $96 | $107 | $118 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $100 | $100 | $100 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $51 | $51 | $51 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $62 | $62 | $62 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $195 | $195 | $195 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $119 | $119 | $119 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $74 | $92 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $76 | $104 | $142 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $130 | $168 | $205 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $168 | $227 | $266 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $20 | $27 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $46 | $66 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $59 | $79 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $70 | $99 | $150 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $141 | $195 | $234 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $83 | $92 | $101 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $137 | $153 | $170 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $201 | $213 | $225 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $39 | $51 | $64 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $72 | $87 | $103 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $103 | $128 | $153 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $72 | $74 | $77 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $106 | $127 | $147 |
| Consultation office low complexity CPT 99243 • Office Visits | $97 | $97 | $97 |
| Consultation office high complexity CPT 99245 • Office Visits | $223 | $223 | $223 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $692 | $725 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $78 | $78 | $78 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,323 | $1,323 | $1,323 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $245 | $315 | $384 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,359 | $1,359 | $1,359 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $713 | $713 | $713 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $269 | $283 | $296 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $663 | $789 | $914 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $355 | $544 | $734 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $111 | $114 | $116 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,192 | $1,514 | $1,836 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $515 | $552 | $589 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $357 | $752 | $1,147 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $688 | $688 | $688 |
| Excision chalazion single CPT 67800 • Ophthalmology | $120 | $120 | $121 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $668 | $668 | $668 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $136 | $169 | $201 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $87 | $87 | $87 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $147 | $153 | $159 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $58 | $73 | $88 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $121 | $127 | $132 |
| Visual field examination CPT 92083 • Ophthalmology | $26 | $47 | $68 |