| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $71 | $85 | $98 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $97 | $116 | $133 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $94 | $128 | $145 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $114 | $156 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $74 | $96 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $95 | $124 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $87 | $122 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $40 | $46 | $51 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $1 | $1 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $19 | $24 | $30 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $66 | $66 | $66 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $53 | $93 | $133 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $56 | $183 | $310 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $56 | $243 | $429 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $50 | $81 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $81 | $121 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $20 | $58 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $38 | $63 | $89 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $67 | $111 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $134 | $134 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $175 | $175 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $143 | $214 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $5 | $45 | $70 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $8 | $48 | $91 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $20 | $106 | $163 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $166 | $187 | $216 |
| Office visit established patient minimal CPT 99211 • Office Visits | $1 | $17 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $5 | $35 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $44 | $63 | $86 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $77 | $104 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $44 | $122 | $171 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $67 | $136 | $171 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $66 | $97 | $131 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $140 | $177 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $6 | $54 | $110 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $69 | $85 | $110 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $96 | $108 | $130 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $7 | $65 | $110 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $15 | $78 | $110 |
| Consultation office low complexity CPT 99243 • Office Visits | $46 | $69 | $92 |
| Consultation office high complexity CPT 99245 • Office Visits | $107 | $177 | $254 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $30 | $226 | $421 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $4 | $17 | $30 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,131 | $1,131 | $1,131 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $30 | $134 | $237 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $539 | $1,048 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $482 | $483 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $45 | $45 | $45 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $715 | $715 | $715 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $522 | $522 | $522 |