| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $65 | $96 | $120 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $108 | $130 | $150 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $106 | $128 | $138 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $165 | $167 | $172 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $82 | $84 | $89 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $80 | $102 | $130 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $99 | $120 | $130 |
| Group psychotherapy CPT 90853 • Mental Health | $30 | $35 | $41 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $152 | $166 | $180 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $41 | $112 | $197 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $115 | $122 | $129 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $128 | $201 | $274 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $164 | $268 | $371 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $39 | $58 | $90 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $30 | $106 | $135 |
| EMG needle each extremity complete CPT 95886 • Neurology | $39 | $70 | $102 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $42 | $45 | $48 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $77 | $101 | $113 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $61 | $89 | $136 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $90 | $134 | $179 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $179 | $199 | $219 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $48 | $58 | $68 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $73 | $87 | $102 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $41 | $122 | $181 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $41 | $132 | $183 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $14 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $26 | $33 | $41 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $38 | $53 | $68 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $41 | $61 | $87 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $127 | $131 | $136 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $73 | $84 | $95 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $120 | $125 | $129 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $41 | $133 | $189 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $36 | $37 | $37 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $60 | $64 | $68 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $85 | $91 | $97 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $68 | $72 | $76 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $100 | $107 | $117 |
| Consultation office low complexity CPT 99243 • Office Visits | $5 | $75 | $119 |
| Consultation office high complexity CPT 99245 • Office Visits | $41 | $152 | $236 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $541 | $603 | $665 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $66 | $70 | $73 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,100 | $1,151 | $1,203 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $41 | $226 | $327 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,083 | $1,113 | $1,143 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $542 | $572 | $592 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $247 | $309 | $372 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $912 | $993 | $1,046 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $41 | $522 | $789 |