| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $103 | $106 | $112 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $109 | $139 | $171 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $102 | $131 | $158 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $129 | $158 | $178 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $60 | $72 | $80 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $124 | $133 | $149 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $99 | $120 | $132 |
| Group psychotherapy CPT 90853 • Mental Health | $30 | $53 | $66 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $2 | $5 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $86 | $136 | $184 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $116 | $146 | $188 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $109 | $151 | $193 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $72 | $157 | $323 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $370 | $437 | $572 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $21 | $65 | $107 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $151 | $200 | $226 |
| EMG needle each extremity complete CPT 95886 • Neurology | $60 | $69 | $79 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $55 | $74 | $84 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $51 | $79 | $103 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $86 | $106 | $126 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $92 | $124 | $168 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $151 | $223 | $259 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $72 | $101 | $138 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $8 | $98 | $155 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $42 | $167 | $236 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $63 | $163 | $241 |
| Office visit established patient minimal CPT 99211 • Office Visits | $22 | $28 | $34 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $3 | $41 | $66 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $4 | $67 | $108 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $62 | $111 | $156 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $116 | $166 | $209 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $8 | $101 | $148 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $51 | $137 | $196 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $239 | $255 | $286 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $3 | $58 | $115 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $54 | $90 | $115 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $42 | $104 | $147 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $87 | $102 | $115 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $9 | $95 | $151 |
| Consultation office low complexity CPT 99243 • Office Visits | $123 | $146 | $177 |
| Consultation office high complexity CPT 99245 • Office Visits | $193 | $245 | $273 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $46 | $479 | $879 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $41 | $60 | $81 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $983 | $1,237 | $1,492 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $28 | $212 | $314 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $578 | $1,040 | $1,386 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $60 | $488 | $763 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $72 | $245 | $383 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $659 | $803 | $947 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $63 | $504 | $759 |