| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $65 | $93 | $139 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $96 | $106 | $121 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $91 | $124 | $174 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $96 | $138 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $59 | $75 | $92 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $80 | $86 | $93 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $96 | $114 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $25 | $31 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $37 | $93 | $149 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $38 | $80 | $123 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $107 | $127 | $147 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $85 | $195 | $383 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $52 | $198 | $451 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $88 | $115 | $128 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $111 | $159 | $183 |
| EMG needle each extremity complete CPT 95886 • Neurology | $51 | $79 | $100 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $56 | $78 | $101 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $53 | $107 | $132 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $73 | $110 | $147 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $112 | $159 | $206 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $262 | $300 | $321 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $62 | $72 | $83 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $64 | $88 | $106 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $36 | $159 | $327 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $138 | $217 | $369 |
| Office visit established patient minimal CPT 99211 • Office Visits | $16 | $24 | $36 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $36 | $53 | $93 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $34 | $54 | $81 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $36 | $80 | $119 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $92 | $154 | $226 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $66 | $130 | $205 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $109 | $156 | $198 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $152 | $213 | $264 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $52 | $75 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $36 | $74 | $120 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $36 | $95 | $144 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $36 | $66 | $84 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $93 | $113 | $132 |
| Consultation office low complexity CPT 99243 • Office Visits | $117 | $221 | $341 |
| Consultation office high complexity CPT 99245 • Office Visits | $209 | $211 | $214 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $37 | $295 | $553 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $37 | $42 | $46 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,001 | $1,001 | $1,001 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $301 | $301 | $301 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $37 | $470 | $902 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $484 | $531 | $554 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $354 | $354 | $354 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $684 | $777 | $871 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $37 | $396 | $656 |