| Psychotherapy 45 minutes CPT 90834 • Mental Health | $90 | $112 | $147 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $111 | $112 | $113 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $145 | $174 | $220 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $144 | $147 | $150 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $152 | $167 | $181 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $72 | $87 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $126 | $144 | $178 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $126 | $148 | $185 |
| Group psychotherapy CPT 90853 • Mental Health | $31 | $46 | $63 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $7 | $9 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $76 | $173 | $271 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $110 | $125 | $155 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $161 | $186 | $210 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $100 | $237 | $339 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $73 | $375 | $678 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $66 | $111 | $147 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $86 | $153 | $211 |
| EMG needle each extremity complete CPT 95886 • Neurology | $80 | $100 | $120 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $96 | $107 | $118 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $70 | $112 | $150 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $60 | $152 | $250 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $135 | $234 | $332 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $138 | $231 | $325 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $76 | $97 | $126 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $90 | $136 | $183 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $10 | $170 | $280 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $168 | $227 | $352 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $19 | $33 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $28 | $51 | $74 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $62 | $92 | $123 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $7 | $114 | $183 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $142 | $194 | $247 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $80 | $127 | $174 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $107 | $171 | $236 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $145 | $232 | $349 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $32 | $50 | $67 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $66 | $95 | $125 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $129 | $154 | $179 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $90 | $108 | $125 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $77 | $125 | $184 |
| Consultation office low complexity CPT 99243 • Office Visits | $113 | $125 | $137 |
| Consultation office high complexity CPT 99245 • Office Visits | $173 | $205 | $236 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $548 | $1,045 | $1,543 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $7 | $32 | $57 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $982 | $1,502 | $2,022 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $270 | $421 | $573 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,034 | $1,537 | $2,040 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $60 | $268 | $475 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $368 | $559 | $750 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $923 | $1,139 | $1,356 |