| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $81 | $96 | $108 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $121 | $165 | $208 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $107 | $133 | $147 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $150 | $164 | $178 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $58 | $86 | $104 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $75 | $121 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $150 | $158 | $174 |
| Group psychotherapy CPT 90853 • Mental Health | $32 | $45 | $58 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $7 | $10 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $101 | $112 | $123 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $106 | $182 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $133 | $154 | $170 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $75 | $255 | $380 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $429 | $442 | $454 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $89 | $104 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $139 | $154 | $162 |
| EMG needle each extremity complete CPT 95886 • Neurology | $74 | $85 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $89 | $111 | $152 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $74 | $111 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $105 | $125 | $136 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $175 | $202 | $253 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $142 | $239 | $291 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $71 | $74 | $79 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $98 | $185 | $272 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $164 | $210 | $256 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $322 | $415 | $522 |
| Office visit established patient minimal CPT 99211 • Office Visits | $12 | $21 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $55 | $79 | $113 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $103 | $187 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $135 | $274 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $175 | $271 | $368 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $149 | $258 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $215 | $282 | $349 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $319 | $450 | $516 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $62 | $96 | $130 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $103 | $186 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $143 | $265 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $84 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $129 | $132 | $139 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $93 | $156 |
| Consultation office high complexity CPT 99245 • Office Visits | $254 | $265 | $286 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $601 | $776 | $951 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $37 | $73 | $108 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,467 | $1,495 | $1,523 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $268 | $268 | $268 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $827 | $1,403 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $644 | $824 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $464 | $464 | $464 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,022 | $1,022 | $1,022 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $426 | $821 |