| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $68 | $86 | $101 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $123 | $133 | $139 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $113 | $141 | $187 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $118 | $242 | $463 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $46 | $68 | $95 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $97 | $112 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $172 | $336 |
| Group psychotherapy CPT 90853 • Mental Health | $22 | $43 | $79 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $5 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $62 | $281 | $501 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $107 | $123 | $132 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $129 | $228 | $420 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $348 | $621 | $1,165 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $58 | $607 | $1,383 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $109 | $203 | $385 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $84 | $134 | $158 |
| EMG needle each extremity complete CPT 95886 • Neurology | $94 | $126 | $158 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $54 | $180 | $307 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $111 | $139 | $187 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $81 | $107 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $186 | $400 | $613 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $108 | $541 | $973 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $60 | $81 | $113 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $104 | $130 | $174 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $139 | $158 | $169 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $203 | $213 | $225 |
| Office visit established patient minimal CPT 99211 • Office Visits | $17 | $24 | $35 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $44 | $62 | $87 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $52 | $83 | $142 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $77 | $106 | $125 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $142 | $186 | $230 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $105 | $157 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $121 | $156 | $211 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $151 | $211 | $311 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $39 | $47 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $74 | $110 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $83 | $110 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $72 | $92 | $112 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $80 | $113 | $165 |
| Consultation office low complexity CPT 99243 • Office Visits | $93 | $120 | $145 |
| Consultation office high complexity CPT 99245 • Office Visits | $191 | $252 | $343 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $535 | $752 | $962 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $45 | $53 | $61 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,157 | $1,238 | $1,319 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $197 | $228 | $245 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,067 | $2,089 | $3,112 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $801 | $1,431 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $230 | $272 | $296 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $733 | $877 | $1,152 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $355 | $470 | $534 |