| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $103 | $122 | $137 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $121 | $150 | $194 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $119 | $149 | $169 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $143 | $171 | $204 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $68 | $82 | $97 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $132 | $141 | $157 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $112 | $136 | $162 |
| Group psychotherapy CPT 90853 • Mental Health | $39 | $51 | $56 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $6 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $91 | $179 | $237 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $31 | $89 | $195 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $115 | $177 | $227 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $65 | $159 | $323 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $89 | $276 | $370 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $21 | $104 | $182 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $72 | $118 | $151 |
| EMG needle each extremity complete CPT 95886 • Neurology | $40 | $85 | $136 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $64 | $77 | $84 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $21 | $76 | $104 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $69 | $84 | $100 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $76 | $137 | $168 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $159 | $226 | $259 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $4 | $80 | $120 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $111 | $154 | $185 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $176 | $293 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $113 | $253 | $323 |
| Office visit established patient minimal CPT 99211 • Office Visits | $2 | $24 | $38 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $3 | $45 | $93 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $20 | $94 | $150 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $103 | $167 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $185 | $299 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $118 | $166 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $131 | $190 | $223 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $168 | $271 | $327 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $3 | $43 | $64 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $87 | $118 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $77 | $137 | $169 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $98 | $110 | $118 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $12 | $118 | $173 |
| Consultation office low complexity CPT 99243 • Office Visits | $126 | $162 | $210 |
| Consultation office high complexity CPT 99245 • Office Visits | $21 | $244 | $362 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $230 | $721 | $1,022 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $6 | $58 | $103 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,053 | $1,416 | $1,791 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $215 | $291 | $367 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $42 | $1,157 | $1,781 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $763 | $850 | $968 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $42 | $176 | $443 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $42 | $446 | $1,201 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $42 | $361 | $965 |