| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $90 | $101 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $139 | $161 | $184 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $108 | $124 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $144 | $147 | $150 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $69 | $78 | $82 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $112 | $131 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $116 | $141 | $157 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $43 | $58 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $123 | $147 | $170 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $78 | $126 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $132 | $133 | $134 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $310 | $350 | $374 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $63 | $246 | $429 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $73 | $99 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $80 | $110 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $97 | $97 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $38 | $77 | $103 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $59 | $94 | $112 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $69 | $102 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $91 | $147 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $204 | $258 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $71 | $76 | $79 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $115 | $116 | $117 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $24 | $96 | $140 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $215 | $219 | $222 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $21 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $46 | $52 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $65 | $88 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $12 | $84 | $125 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $149 | $152 | $155 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $96 | $147 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $148 | $154 | $159 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $29 | $156 | $221 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $42 | $77 | $111 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $73 | $111 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $85 | $113 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $73 | $111 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $116 | $129 | $136 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $82 | $133 |
| Consultation office high complexity CPT 99245 • Office Visits | $18 | $171 | $285 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $601 | $624 | $646 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $37 | $55 | $73 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,130 | $1,200 | $1,271 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $360 | $360 | $360 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $786 | $1,282 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $550 | $685 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $252 | $252 | $252 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $852 | $852 | $852 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $358 | $685 |