| Psychotherapy 60 minutes CPT 90837 • Mental Health | $101 | $132 | $164 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $98 | $98 | $98 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $154 | $154 | $154 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $80 | $80 | $80 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $75 | $75 | $75 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $87 | $106 | $125 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $25 | $25 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $6 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $69 | $82 | $96 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $131 | $131 | $131 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $99 | $99 | $99 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $90 | $255 | $499 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $45 | $45 | $45 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $67 | $67 | $67 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $66 | $66 | $66 |
| EMG needle each extremity complete CPT 95886 • Neurology | $77 | $109 | $141 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $46 | $46 | $46 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $45 | $45 | $45 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $123 | $162 | $201 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $162 | $162 | $162 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $166 | $266 | $367 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $45 | $81 | $118 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $48 | $72 | $96 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $81 | $183 | $257 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $126 | $234 | $359 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $22 | $38 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $26 | $34 | $42 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $43 | $68 | $92 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $49 | $112 | $149 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $70 | $185 | $300 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $64 | $91 | $118 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $87 | $137 | $186 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $129 | $228 | $307 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $26 | $45 | $64 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $48 | $84 | $121 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $68 | $125 | $181 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $47 | $76 | $105 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $69 | $106 | $144 |
| Consultation office low complexity CPT 99243 • Office Visits | $88 | $88 | $88 |
| Consultation office high complexity CPT 99245 • Office Visits | $136 | $136 | $136 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $412 | $412 | $412 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $40 | $40 | $40 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $855 | $855 | $855 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $244 | $244 | $244 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $845 | $845 | $845 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $451 | $451 | $451 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $320 | $320 | $320 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $769 | $769 | $769 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $551 | $551 | $551 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $154 | $154 | $154 |