| Psychotherapy 30 minutes CPT 90832 • Mental Health | $51 | $62 | $73 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $54 | $65 | $76 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $67 | $83 | $90 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $82 | $98 | $118 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $109 | $118 | $133 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $91 | $108 | $136 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $96 | $130 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $61 | $66 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $82 | $115 | $178 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $100 | $118 |
| Group psychotherapy CPT 90853 • Mental Health | $18 | $31 | $52 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $7 | $9 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $115 | $174 | $271 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $146 | $171 | $222 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $131 | $197 | $316 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $47 | $194 | $450 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $52 | $319 | $528 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $27 | $72 | $135 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $72 | $152 | $196 |
| EMG needle each extremity complete CPT 95886 • Neurology | $42 | $82 | $119 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $38 | $73 | $108 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $44 | $108 | $136 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $53 | $63 | $73 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $68 | $191 | $291 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $185 | $264 | $346 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $71 | $75 | $80 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $83 | $117 | $151 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $142 | $160 | $178 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $169 | $237 | $352 |
| Office visit established patient minimal CPT 99211 • Office Visits | $21 | $26 | $33 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $24 | $50 | $79 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $58 | $79 | $118 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $88 | $113 | $181 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $91 | $178 | $294 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $80 | $128 | $174 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $153 | $198 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $173 | $217 | $264 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $43 | $67 | $92 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $59 | $80 | $103 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $85 | $115 | $179 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $59 | $84 | $105 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $106 | $121 | $149 |
| Consultation office low complexity CPT 99243 • Office Visits | $101 | $121 | $142 |
| Consultation office high complexity CPT 99245 • Office Visits | $21 | $166 | $245 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $610 | $927 | $1,543 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $43 | $56 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,289 | $1,655 | $2,022 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $202 | $387 | $573 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $326 | $1,066 | $1,550 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $695 | $709 | $716 |