| EMG needle each extremity complete CPT 95886 • Neurology | $97 | $97 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $83 | $83 | $83 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $111 | $145 | $213 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $55 | $95 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $163 | $163 | $163 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $285 | $285 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $79 | $83 | $93 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $87 | $87 | $87 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $139 | $185 | $215 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $180 | $186 | $191 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $15 | $29 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $37 | $49 | $72 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $86 | $96 | $116 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $110 | $137 | $165 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $174 | $174 | $174 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $147 | $147 | $147 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $109 | $109 | $109 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $16 | $153 | $221 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $42 | $42 | $42 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $66 | $66 | $66 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $100 | $100 | $100 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $68 | $68 | $68 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $81 | $91 | $110 |
| Consultation office low complexity CPT 99243 • Office Visits | $129 | $141 | $154 |
| Consultation office high complexity CPT 99245 • Office Visits | $285 | $325 | $405 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $618 | $618 | $618 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $43 | $43 | $43 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,280 | $1,280 | $1,280 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $197 | $232 | $267 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,182 | $1,182 | $1,182 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $523 | $543 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $324 | $324 | $324 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $808 | $808 | $808 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $590 | $590 | $590 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $40 | $82 | $123 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,292 | $1,392 | $1,491 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $559 | $559 | $559 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $326 | $354 | $369 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $521 | $521 | $521 |
| Excision chalazion single CPT 67800 • Ophthalmology | $139 | $139 | $139 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $30 | $555 | $865 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $160 | $160 | $160 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $73 | $73 | $73 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $127 | $136 | $145 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $75 | $75 | $75 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $107 | $107 | $107 |
| Visual field examination CPT 92083 • Ophthalmology | $34 | $47 | $60 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $21 | $30 | $39 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $48 | $48 | $48 |
| Fundus photography CPT 92250 • Ophthalmology | $20 | $28 | $35 |