| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $78 | $106 | $161 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $79 | $164 | $245 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $105 | $141 | $212 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $93 | $158 | $258 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $79 | $123 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $91 | $127 | $199 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $69 | $122 | $207 |
| Group psychotherapy CPT 90853 • Mental Health | $30 | $43 | $49 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $8 | $9 | $10 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $45 | $111 | $153 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $115 | $181 | $248 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $72 | $142 | $236 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $111 | $227 | $286 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $164 | $417 | $759 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $56 | $84 | $101 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $67 | $121 | $159 |
| EMG needle each extremity complete CPT 95886 • Neurology | $36 | $64 | $83 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $77 | $78 | $80 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $54 | $86 | $105 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $54 | $89 | $124 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $156 | $174 | $208 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $86 | $173 | $236 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $4 | $67 | $126 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $81 | $123 | $183 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $140 | $210 | $279 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $156 | $221 | $351 |
| Office visit established patient minimal CPT 99211 • Office Visits | $3 | $18 | $33 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $37 | $49 | $73 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $31 | $61 | $87 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $89 | $104 | $135 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $134 | $155 | $191 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $13 | $111 | $174 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $45 | $142 | $235 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $185 | $240 | $348 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $64 | $65 | $67 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $6 | $65 | $124 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $81 | $118 | $179 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $6 | $66 | $125 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $9 | $97 | $184 |
| Consultation office low complexity CPT 99243 • Office Visits | $46 | $127 | $211 |
| Consultation office high complexity CPT 99245 • Office Visits | $45 | $205 | $384 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $512 | $725 | $1,151 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $4 | $55 | $131 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $641 | $1,452 | $2,263 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $135 | $388 | $642 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $425 | $1,186 | $2,283 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $275 | $629 | $1,220 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $164 | $265 | $449 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $435 | $976 | $1,518 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $63 | $642 | $1,220 |