| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $88 | $99 | $107 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $97 | $118 | $147 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $115 | $139 | $185 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $111 | $136 | $163 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $55 | $66 | $88 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $92 | $108 | $139 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $114 | $139 | $157 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $37 | $46 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $3 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $17 | $17 | $17 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $24 | $24 | $24 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $74 | $74 | $74 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $181 | $266 | $351 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $62 | $62 | $62 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $73 | $73 | $73 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $146 | $146 | $146 |
| EMG needle each extremity complete CPT 95886 • Neurology | $47 | $47 | $47 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $38 | $38 | $38 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $69 | $69 | $69 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $71 | $71 | $71 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $206 | $206 | $206 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $167 | $167 | $167 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $39 | $65 | $91 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $9 | $84 | $129 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $103 | $198 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $156 | $207 | $246 |
| Office visit established patient minimal CPT 99211 • Office Visits | $2 | $25 | $53 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $44 | $52 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $78 | $93 | $110 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $113 | $142 | $160 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $124 | $159 | $181 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $82 | $99 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $102 | $128 | $155 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $150 | $166 | $183 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $29 | $39 | $50 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $34 | $77 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $48 | $77 | $106 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $44 | $70 | $96 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $75 | $106 | $136 |
| Consultation office low complexity CPT 99243 • Office Visits | $13 | $64 | $114 |
| Consultation office high complexity CPT 99245 • Office Visits | $152 | $171 | $190 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $80 | $80 | $80 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $6 | $6 | $6 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,089 | $1,089 | $1,089 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $31 | $31 | $31 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $142 | $142 | $142 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $388 | $388 | $388 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $23 | $23 | $23 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $739 | $739 | $739 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $413 | $413 | $413 |