| Lumbar puncture diagnostic CPT 62270 • Neurology | $408 | $408 | $408 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $332 | $332 | $332 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $381 | $381 | $381 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $1,118 | $1,118 | $1,118 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $1,288 | $1,288 | $1,288 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $318 | $318 | $318 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $227 | $227 | $227 |
| EMG needle each extremity complete CPT 95886 • Neurology | $272 | $272 | $272 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $255 | $255 | $255 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $316 | $316 | $316 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $380 | $380 | $380 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $496 | $496 | $496 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $807 | $807 | $807 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $204 | $204 | $204 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $314 | $314 | $314 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $470 | $470 | $470 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $620 | $620 | $620 |
| Office visit established patient minimal CPT 99211 • Office Visits | $66 | $66 | $66 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $160 | $160 | $160 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $257 | $257 | $257 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $362 | $362 | $362 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $509 | $509 | $509 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $229 | $229 | $229 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $363 | $363 | $363 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $482 | $482 | $482 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $137 | $137 | $137 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $219 | $219 | $219 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $330 | $330 | $330 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $226 | $226 | $226 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $319 | $319 | $319 |
| Consultation office low complexity CPT 99243 • Office Visits | $246 | $246 | $246 |
| Consultation office high complexity CPT 99245 • Office Visits | $591 | $591 | $591 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,757 | $1,757 | $1,757 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $108 | $108 | $108 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $3,289 | $3,289 | $3,289 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $687 | $687 | $687 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $3,058 | $3,058 | $3,058 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $1,421 | $1,421 | $1,421 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $840 | $840 | $840 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $2,078 | $2,078 | $2,078 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,517 | $1,517 | $1,517 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $317 | $317 | $317 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $3,304 | $3,304 | $3,304 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $1,442 | $1,442 | $1,442 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $950 | $950 | $950 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $1,274 | $1,274 | $1,274 |
| Excision chalazion single CPT 67800 • Ophthalmology | $286 | $286 | $286 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $1,646 | $1,646 | $1,646 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $329 | $329 | $329 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $241 | $241 | $241 |