| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $86 | $136 | $185 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $116 | $136 | $157 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $144 | $183 | $223 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $176 | $223 | $269 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $58 | $69 | $81 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $150 | $180 | $209 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $97 | $124 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $51 | $57 | $63 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $283 | $345 | $407 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $132 | $136 | $141 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $116 | $116 | $116 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $118 | $118 | $118 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $318 | $318 | $318 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $64 | $88 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $75 | $132 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $41 | $41 | $41 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $81 | $81 | $81 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $37 | $52 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $61 | $69 | $78 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $179 | $179 | $179 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $609 | $609 | $609 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $136 | $151 | $165 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $101 | $178 | $255 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $154 | $159 | $164 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $159 | $218 | $280 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $35 | $52 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $41 | $85 | $128 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $48 | $127 | $207 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $101 | $117 | $125 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $105 | $258 | $412 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $95 | $162 | $228 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $251 | $279 | $307 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $198 | $339 | $451 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $62 | $88 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $132 | $147 | $162 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $98 | $165 | $233 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $133 | $148 | $163 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $130 | $188 | $238 |
| Consultation office low complexity CPT 99243 • Office Visits | $117 | $144 | $171 |
| Consultation office high complexity CPT 99245 • Office Visits | $255 | $369 | $499 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $652 | $652 | $652 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $94 | $94 | $94 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,130 | $1,202 | $1,274 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $363 | $363 | $363 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $2,233 | $2,233 | $2,233 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $586 | $689 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $482 | $482 | $482 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,533 | $1,533 | $1,533 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $688 | $688 | $688 |