| Psychotherapy 60 minutes CPT 90837 • Mental Health | $156 | $188 | $220 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $144 | $167 | $190 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $230 | $230 | $230 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $110 | $115 | $119 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $108 | $143 | $178 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $135 | $160 | $185 |
| Group psychotherapy CPT 90853 • Mental Health | $38 | $41 | $45 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $7 | $8 | $9 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $111 | $213 | $314 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $232 | $240 | $249 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $169 | $206 | $244 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $72 | $334 | $595 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $72 | $375 | $678 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $128 | $167 | $207 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $142 | $164 | $186 |
| EMG needle each extremity complete CPT 95886 • Neurology | $63 | $108 | $154 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $126 | $145 | $164 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $103 | $157 | $211 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $103 | $107 | $110 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $108 | $220 | $332 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $159 | $330 | $501 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $65 | $89 | $114 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $99 | $132 | $165 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $118 | $194 | $253 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $172 | $251 | $318 |
| Office visit established patient minimal CPT 99211 • Office Visits | $26 | $28 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $57 | $62 | $66 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $94 | $102 | $111 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $58 | $85 | $138 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $142 | $182 | $223 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $130 | $144 | $157 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $176 | $194 | $213 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $158 | $244 | $315 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $50 | $56 | $61 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $92 | $102 | $112 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $132 | $147 | $162 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $92 | $103 | $113 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $89 | $131 | $166 |
| Consultation office low complexity CPT 99243 • Office Visits | $152 | $155 | $159 |
| Consultation office high complexity CPT 99245 • Office Visits | $245 | $296 | $348 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $883 | $883 | $883 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $98 | $98 | $98 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,621 | $1,621 | $1,621 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $483 | $483 | $483 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,686 | $1,686 | $1,686 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $875 | $875 | $875 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $364 | $364 | $364 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,505 | $1,505 | $1,505 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,087 | $1,087 | $1,087 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $149 | $149 | $149 |