| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $100 | $107 | $119 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $112 | $126 | $153 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $134 | $136 | $137 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $134 | $158 | $178 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $67 | $73 | $77 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $87 | $103 | $124 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $91 | $114 | $129 |
| Group psychotherapy CPT 90853 • Mental Health | $31 | $43 | $52 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $4 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $44 | $127 | $210 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $22 | $97 | $156 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $10 | $90 | $170 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $343 | $356 | $369 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $413 | $459 | $506 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $118 | $133 | $149 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $81 | $120 | $170 |
| EMG needle each extremity complete CPT 95886 • Neurology | $21 | $39 | $57 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $41 | $80 | $119 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $59 | $106 | $153 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $99 | $120 | $140 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $105 | $107 | $109 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $148 | $256 | $363 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $4 | $47 | $91 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $116 | $124 | $131 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $68 | $134 | $199 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $73 | $182 | $251 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $22 | $25 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $31 | $41 | $50 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $62 | $66 | $69 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $12 | $62 | $130 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $18 | $76 | $135 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $123 | $123 | $124 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $54 | $110 | $167 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $185 | $216 | $247 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $5 | $26 | $48 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $9 | $48 | $88 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $41 | $84 | $127 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $44 | $66 | $88 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $99 | $115 | $131 |
| Consultation office low complexity CPT 99243 • Office Visits | $116 | $130 | $143 |
| Consultation office high complexity CPT 99245 • Office Visits | $44 | $157 | $271 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $349 | $576 | $803 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $24 | $57 | $91 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,428 | $1,475 | $1,567 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $228 | $275 | $323 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $134 | $790 | $1,447 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $621 | $736 | $850 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $29 | $210 | $391 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $634 | $843 | $1,052 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $44 | $330 | $846 |