| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $69 | $93 | $119 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $96 | $119 | $150 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $91 | $122 | $137 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $100 | $152 | $179 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $65 | $75 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $94 | $116 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $80 | $101 | $121 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $37 | $45 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $2 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $56 | $82 | $107 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $26 | $58 | $103 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $85 | $87 | $90 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $200 | $217 | $234 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $331 | $372 | $413 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $52 | $60 | $67 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $64 | $108 | $170 |
| EMG needle each extremity complete CPT 95886 • Neurology | $39 | $45 | $52 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $41 | $42 | $42 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $93 | $105 | $117 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $61 | $64 | $70 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $78 | $81 | $83 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $59 | $73 | $87 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $6 | $32 | $58 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $82 | $85 | $87 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $68 | $97 | $125 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $27 | $125 | $190 |
| Office visit established patient minimal CPT 99211 • Office Visits | $4 | $5 | $7 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $36 | $38 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $5 | $31 | $57 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $44 | $69 | $83 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $74 | $93 | $111 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $8 | $43 | $78 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $105 | $127 | $149 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $155 | $170 | $185 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $30 | $31 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $55 | $62 | $69 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $8 | $44 | $80 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $56 | $57 | $58 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $8 | $45 | $82 |
| Consultation office low complexity CPT 99243 • Office Visits | $6 | $40 | $74 |
| Consultation office high complexity CPT 99245 • Office Visits | $14 | $81 | $148 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $426 | $449 | $472 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $10 | $22 | $35 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $905 | $953 | $1,000 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $187 | $208 | $248 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $837 | $920 | $1,002 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $385 | $425 | $466 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $181 | $192 | $202 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $136 | $355 | $574 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $99 | $259 | $418 |