| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $54 | $62 | $70 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $102 | $104 | $107 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $81 | $102 | $123 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $86 | $117 | $148 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $49 | $60 | $71 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $65 | $90 | $115 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $68 | $84 | $100 |
| Group psychotherapy CPT 90853 • Mental Health | $19 | $29 | $40 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $3 | $3 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $30 | $36 | $42 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $80 | $115 | $132 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $93 | $93 | $93 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $227 | $283 | $338 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $304 | $356 | $407 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $66 | $86 | $117 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $54 | $131 | $170 |
| EMG needle each extremity complete CPT 95886 • Neurology | $29 | $66 | $103 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $35 | $64 | $94 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $31 | $89 | $118 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $38 | $49 | $60 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $117 | $151 | $184 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $69 | $89 | $110 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $48 | $58 | $62 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $42 | $54 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $95 | $143 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $148 | $168 | $188 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $11 | $20 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $39 | $49 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $56 | $78 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $86 | $102 | $110 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $75 | $121 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $42 | $55 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $30 | $58 | $87 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $30 | $120 | $215 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $31 | $33 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $41 | $52 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $54 | $79 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $42 | $54 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $76 | $101 | $114 |
| Consultation office low complexity CPT 99243 • Office Visits | $75 | $105 | $130 |
| Consultation office high complexity CPT 99245 • Office Visits | $30 | $136 | $237 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $30 | $199 | $368 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $25 | $28 | $30 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $781 | $781 | $781 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $163 | $163 | $163 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $378 | $726 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $337 | $433 | $528 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $199 | $199 | $199 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $30 | $262 | $493 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $360 | $587 | $814 |