| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $60 | $91 | $107 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $92 | $114 | $126 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $79 | $98 | $123 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $96 | $118 | $139 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $46 | $52 | $59 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $67 | $79 | $90 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $69 | $88 | $100 |
| Group psychotherapy CPT 90853 • Mental Health | $16 | $39 | $58 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $2 | $3 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $42 | $69 | $121 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $54 | $80 | $107 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $86 | $99 | $122 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $38 | $149 | $340 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $248 | $337 | $408 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $45 | $72 | $109 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $59 | $125 | $158 |
| EMG needle each extremity complete CPT 95886 • Neurology | $34 | $74 | $94 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $27 | $67 | $88 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $56 | $110 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $75 | $101 | $132 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $72 | $116 | $174 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $56 | $180 | $281 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $35 | $49 | $62 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $66 | $96 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $87 | $121 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $128 | $216 |
| Office visit established patient minimal CPT 99211 • Office Visits | $1 | $13 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $32 | $36 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $49 | $66 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $58 | $72 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $96 | $122 | $154 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $8 | $67 | $127 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $91 | $110 | $136 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $134 | $162 | $201 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $4 | $34 | $72 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $8 | $43 | $72 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $8 | $60 | $103 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $48 | $64 | $73 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $8 | $62 | $107 |
| Consultation office low complexity CPT 99243 • Office Visits | $14 | $63 | $93 |
| Consultation office high complexity CPT 99245 • Office Visits | $15 | $122 | $222 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $321 | $404 | $482 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $7 | $22 | $31 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $784 | $996 | $1,101 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $138 | $150 | $162 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $153 | $633 | $1,021 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $329 | $378 | $470 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $165 | $182 | $199 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $140 | $318 | $497 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $362 | $588 | $814 |