| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $95 | $116 | $137 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $99 | $135 | $161 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $119 | $138 | $158 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $151 | $162 | $168 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $68 | $76 | $80 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $116 | $127 | $132 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $77 | $107 | $132 |
| Group psychotherapy CPT 90853 • Mental Health | $32 | $46 | $56 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $68 | $107 | $184 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $14 | $67 | $144 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $118 | $134 | $152 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $65 | $241 | $334 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $50 | $298 | $474 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $54 | $98 | $134 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $75 | $139 | $192 |
| EMG needle each extremity complete CPT 95886 • Neurology | $40 | $57 | $79 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $42 | $77 | $107 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $21 | $87 | $136 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $69 | $116 | $163 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $76 | $123 | $168 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $97 | $160 | $259 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $8 | $66 | $96 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $42 | $93 | $130 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $14 | $102 | $210 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $42 | $168 | $265 |
| Office visit established patient minimal CPT 99211 • Office Visits | $7 | $22 | $29 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $2 | $42 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $4 | $68 | $95 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $8 | $63 | $102 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $168 | $176 | $186 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $76 | $121 | $148 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $96 | $144 | $178 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $76 | $176 | $262 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $45 | $82 | $116 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $73 | $92 | $115 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $12 | $93 | $135 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $8 | $73 | $115 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $12 | $96 | $138 |
| Consultation office low complexity CPT 99243 • Office Visits | $42 | $116 | $158 |
| Consultation office high complexity CPT 99245 • Office Visits | $70 | $210 | $290 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $512 | $563 | $665 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $40 | $61 | $81 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,053 | $1,169 | $1,284 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $33 | $178 | $267 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $173 | $838 | $1,185 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $543 | $690 | $763 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $71 | $197 | $323 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $188 | $501 | $813 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $323 | $482 | $593 |