| EMG needle each extremity complete CPT 95886 • Neurology | $97 | $97 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $59 | $59 | $59 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $129 | $129 | $129 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $67 | $67 | $67 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $203 | $203 | $203 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $126 | $126 | $126 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $42 | $49 | $56 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $64 | $76 | $88 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $106 | $125 | $144 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $139 | $182 | $225 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $15 | $21 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $48 | $58 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $57 | $67 | $77 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $86 | $108 | $129 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $92 | $138 | $184 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $82 | $82 | $82 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $115 | $115 | $115 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $161 | $165 | $169 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $35 | $39 | $43 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $62 | $65 | $68 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $89 | $89 | $89 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $63 | $63 | $63 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $92 | $92 | $92 |
| Consultation office low complexity CPT 99243 • Office Visits | $90 | $90 | $90 |
| Consultation office high complexity CPT 99245 • Office Visits | $5 | $5 | $5 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $641 | $641 | $641 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $54 | $54 | $54 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,251 | $1,251 | $1,251 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $303 | $303 | $303 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,170 | $1,170 | $1,170 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $621 | $621 | $621 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $402 | $402 | $402 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,077 | $1,077 | $1,077 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $769 | $769 | $769 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $173 | $173 | $173 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,610 | $1,610 | $1,610 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $695 | $695 | $695 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $969 | $969 | $969 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $594 | $594 | $594 |
| Excision chalazion single CPT 67800 • Ophthalmology | $130 | $130 | $130 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $613 | $613 | $613 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $155 | $155 | $155 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $21 | $21 | $21 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $58 | $58 | $58 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $29 | $29 | $29 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $43 | $43 | $43 |
| Visual field examination CPT 92083 • Ophthalmology | $34 | $34 | $34 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $8 | $8 | $8 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $38 | $38 | $38 |
| Fundus photography CPT 92250 • Ophthalmology | $11 | $11 | $11 |