| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $68 | $99 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $133 | $155 | $184 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $92 | $118 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $96 | $142 | $176 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $67 | $78 | $95 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $112 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $122 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $30 | $39 | $58 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $68 | $95 | $123 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $78 | $127 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $119 | $129 | $134 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $310 | $335 | $367 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $63 | $290 | $429 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $56 | $93 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $95 | $139 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $52 | $78 | $104 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $52 | $54 | $58 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $73 | $99 | $112 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $69 | $102 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $104 | $162 | $205 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $285 | $299 | $326 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $47 | $66 | $81 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $109 | $112 | $115 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $162 | $168 | $175 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $191 | $210 | $222 |
| Office visit established patient minimal CPT 99211 • Office Visits | $22 | $25 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $28 | $43 | $56 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $69 | $101 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $90 | $125 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $156 | $166 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $93 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $103 | $127 | $147 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $30 | $153 | $216 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $42 | $73 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $80 | $129 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $96 | $144 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $78 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $101 | $122 | $143 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $81 | $132 |
| Consultation office high complexity CPT 99245 • Office Visits | $207 | $225 | $255 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $601 | $673 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $37 | $43 | $49 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,130 | $1,199 | $1,267 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $222 | $234 | $245 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $750 | $1,172 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $501 | $539 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $296 | $309 | $322 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $747 | $775 | $803 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $374 | $585 |