| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $102 | $143 | $184 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $150 | $210 | $258 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $247 | $313 | $380 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $287 | $367 | $448 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $82 | $107 | $132 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $178 | $208 | $253 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $185 | $228 | $301 |
| Group psychotherapy CPT 90853 • Mental Health | $41 | $43 | $45 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $9 | $9 | $10 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $271 | $345 | $480 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $187 | $363 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $250 | $322 | $401 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $100 | $651 | $1,254 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $112 | $752 | $1,466 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $115 | $225 | $354 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $33 | $86 | $142 |
| EMG needle each extremity complete CPT 95886 • Neurology | $154 | $207 | $295 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $95 | $185 | $275 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $86 | $166 | $346 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $135 | $176 | $250 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $163 | $345 | $540 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $325 | $613 | $873 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $126 | $141 | $159 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $178 | $196 | $228 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $112 | $267 | $375 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $144 | $309 | $433 |
| Office visit established patient minimal CPT 99211 • Office Visits | $33 | $41 | $47 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $74 | $81 | $94 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $123 | $151 | $175 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $159 | $199 | $227 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $247 | $272 | $305 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $168 | $183 | $208 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $210 | $242 | $281 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $281 | $336 | $417 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $67 | $76 | $81 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $118 | $131 | $150 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $171 | $214 | $291 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $125 | $155 | $206 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $117 | $196 | $294 |
| Consultation office low complexity CPT 99243 • Office Visits | $41 | $110 | $176 |
| Consultation office high complexity CPT 99245 • Office Visits | $41 | $315 | $588 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,065 | $1,482 | $1,839 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $67 | $88 | $109 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,467 | $1,746 | $2,022 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $479 | $526 | $573 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $326 | $1,770 | $2,669 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $1,066 | $1,159 | $1,286 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $518 | $634 | $750 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $926 | $1,131 | $1,356 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $526 | $923 | $1,154 |