| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $93 | $118 | $144 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $134 | $158 | $206 |
| EMG needle each extremity complete CPT 95886 • Neurology | $116 | $116 | $116 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $65 | $65 | $65 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $93 | $119 | $145 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $174 | $174 | $174 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $99 | $99 | $99 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $228 | $228 | $228 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $90 | $90 | $90 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $50 | $70 | $90 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $127 | $150 | $170 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $86 | $144 | $202 |
| Office visit established patient minimal CPT 99211 • Office Visits | $27 | $39 | $50 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $31 | $40 | $50 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $50 | $56 | $61 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $12 | $51 | $129 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $50 | $112 | $174 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $50 | $86 | $122 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $50 | $107 | $164 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $50 | $150 | $241 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $47 | $48 | $50 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $50 | $68 | $86 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $50 | $87 | $124 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $50 | $68 | $87 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $112 | $120 | $128 |
| Consultation office low complexity CPT 99243 • Office Visits | $50 | $91 | $147 |
| Consultation office high complexity CPT 99245 • Office Visits | $50 | $126 | $269 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $50 | $353 | $656 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $50 | $52 | $55 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,412 | $1,412 | $1,412 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $215 | $231 | $248 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $50 | $678 | $1,306 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $531 | $566 | $601 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $50 | $204 | $358 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $783 | $839 | $895 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $652 | $652 | $652 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $50 | $85 | $121 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $50 | $740 | $1,430 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $50 | $334 | $619 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $50 | $272 | $408 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $50 | $382 | $713 |
| Excision chalazion single CPT 67800 • Ophthalmology | $50 | $102 | $154 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $851 | $879 | $934 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $177 | $177 | $177 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $94 | $94 | $94 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $168 | $168 | $168 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $99 | $99 | $99 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $96 | $118 | $141 |
| Visual field examination CPT 92083 • Ophthalmology | $31 | $31 | $31 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $31 | $38 | $46 |