| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $91 | $94 | $97 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $118 | $164 | $246 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $118 | $134 | $165 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $144 | $145 | $145 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $69 | $69 | $70 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $77 | $95 | $105 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $106 | $107 | $110 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $35 | $41 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $6 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $70 | $71 | $72 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $146 | $208 | $271 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $150 | $207 | $264 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $148 | $276 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $58 | $69 | $80 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $61 | $105 | $149 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $80 | $170 | $214 |
| EMG needle each extremity complete CPT 95886 • Neurology | $46 | $87 | $129 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $37 | $37 | $37 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $64 | $115 | $164 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $80 | $125 | $182 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $108 | $183 | $259 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $189 | $300 | $412 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $44 | $73 | $102 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $96 | $121 | $145 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $17 | $178 | $327 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $155 | $267 | $432 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $25 | $31 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $37 | $48 | $60 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $46 | $74 | $101 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $56 | $105 | $147 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $101 | $150 | $198 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $94 | $136 | $178 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $126 | $184 | $241 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $185 | $255 | $347 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $36 | $45 | $53 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $66 | $96 | $127 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $95 | $139 | $183 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $66 | $96 | $125 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $97 | $115 | $125 |
| Consultation office low complexity CPT 99243 • Office Visits | $111 | $178 | $341 |
| Consultation office high complexity CPT 99245 • Office Visits | $48 | $185 | $302 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $607 | $607 | $607 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $8 | $31 | $54 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,727 | $1,727 | $1,727 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $357 | $357 | $357 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,584 | $1,584 | $1,584 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $722 | $792 | $862 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $342 | $342 | $342 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,091 | $1,197 | $1,302 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $729 | $761 | $794 |