| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $68 | $143 | $211 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $111 | $246 | $399 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $135 | $156 | $197 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $122 | $175 | $239 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $54 | $76 | $115 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $82 | $167 | $255 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $114 | $133 | $171 |
| Group psychotherapy CPT 90853 • Mental Health | $43 | $50 | $63 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $5 | $9 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $164 | $354 | $734 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $14 | $461 | $763 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $14 | $234 | $554 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $194 | $368 | $659 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $98 | $385 | $785 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $90 | $132 | $212 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $26 | $170 | $320 |
| EMG needle each extremity complete CPT 95886 • Neurology | $93 | $101 | $111 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $52 | $77 | $104 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $65 | $103 | $129 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $117 | $136 | $172 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $203 | $262 | $335 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $320 | $404 | $558 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $109 | $138 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $71 | $114 | $187 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $284 | $326 | $382 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $130 | $307 | $504 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $21 | $41 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $32 | $73 | $107 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $38 | $74 | $131 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $8 | $146 | $240 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $98 | $181 | $253 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $78 | $144 | $182 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $107 | $195 | $246 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $158 | $220 | $343 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $5 | $34 | $67 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $58 | $91 | $123 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $42 | $101 | $177 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $58 | $105 | $132 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $72 | $113 | $183 |
| Consultation office low complexity CPT 99243 • Office Visits | $211 | $216 | $224 |
| Consultation office high complexity CPT 99245 • Office Visits | $203 | $290 | $342 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $351 | $673 | $1,165 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $25 | $51 | $65 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $763 | $1,411 | $2,060 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $317 | $436 | $556 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,091 | $1,368 | $1,920 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $408 | $627 | $890 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $415 | $501 | $646 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,310 | $1,347 | $1,384 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $956 | $1,149 | $1,479 |