| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $89 | $127 | $159 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $149 | $158 | $165 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $105 | $142 | $211 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $124 | $191 | $257 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $52 | $67 | $82 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $99 | $165 | $245 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $91 | $137 | $185 |
| Group psychotherapy CPT 90853 • Mental Health | $26 | $38 | $48 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $8 | $10 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $83 | $141 | $206 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $225 | $243 | $257 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $117 | $200 | $268 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $285 | $422 | $604 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $73 | $170 | $328 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $96 | $201 | $284 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $138 | $145 | $158 |
| EMG needle each extremity complete CPT 95886 • Neurology | $72 | $100 | $116 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $68 | $103 | $166 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $86 | $156 | $292 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $96 | $171 | $254 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $105 | $209 | $336 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $236 | $377 | $509 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $54 | $96 | $133 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $80 | $108 | $136 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $44 | $206 | $297 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $45 | $273 | $484 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $31 | $55 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $38 | $49 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $64 | $79 | $124 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $133 | $176 | $251 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $138 | $152 | $180 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $126 | $144 | $175 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $146 | $163 | $172 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $185 | $260 | $350 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $49 | $54 | $64 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $65 | $93 | $125 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $94 | $143 | $189 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $66 | $93 | $125 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $97 | $154 | $254 |
| Consultation office low complexity CPT 99243 • Office Visits | $93 | $163 | $225 |
| Consultation office high complexity CPT 99245 • Office Visits | $185 | $317 | $525 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $512 | $666 | $821 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $60 | $90 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,474 | $2,057 | $2,641 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $45 | $245 | $446 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $850 | $1,421 | $1,871 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $392 | $523 | $783 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $369 | $517 | $665 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $988 | $1,406 | $1,825 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $794 | $986 | $1,154 |