| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $116 | $140 | $161 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $220 | $234 | $247 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $123 | $175 | $213 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $230 | $244 | $258 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $81 | $105 | $123 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $150 | $176 | $199 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $150 | $180 | $206 |
| Group psychotherapy CPT 90853 • Mental Health | $44 | $47 | $50 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $9 | $9 | $10 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $303 | $308 | $314 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $170 | $248 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $134 | $204 | $244 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $311 | $487 | $595 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $111 | $395 | $678 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $101 | $139 | $207 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $161 | $216 | $325 |
| EMG needle each extremity complete CPT 95886 • Neurology | $89 | $121 | $154 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $45 | $104 | $164 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $156 | $236 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $110 | $175 | $280 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $88 | $209 | $332 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $197 | $328 | $501 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $71 | $90 | $114 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $131 | $148 | $165 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $81 | $204 | $279 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $194 | $289 |
| Office visit established patient minimal CPT 99211 • Office Visits | $16 | $22 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $44 | $55 | $66 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $76 | $111 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $12 | $59 | $135 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $191 | $207 | $223 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $120 | $174 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $213 | $224 | $235 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $193 | $285 | $348 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $61 | $64 | $67 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $89 | $124 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $130 | $157 | $179 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $89 | $125 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $97 | $149 | $184 |
| Consultation office low complexity CPT 99243 • Office Visits | $128 | $177 | $211 |
| Consultation office high complexity CPT 99245 • Office Visits | $30 | $236 | $348 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,151 | $1,151 | $1,151 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $7 | $55 | $102 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $2,263 | $2,263 | $2,263 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $642 | $642 | $642 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $1,157 | $2,283 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $338 | $779 | $1,220 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $560 | $560 | $560 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,518 | $1,518 | $1,518 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $261 | $740 | $1,220 |