| Psychotherapy 45 minutes CPT 90834 • Mental Health | $114 | $127 | $147 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $111 | $121 | $131 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $123 | $171 | $220 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $146 | $148 | $150 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $152 | $165 | $178 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $76 | $81 | $85 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $107 | $141 | $178 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $107 | $145 | $185 |
| Group psychotherapy CPT 90853 • Mental Health | $34 | $44 | $53 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $7 | $9 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $145 | $202 | $271 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $15 | $128 | $222 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $146 | $178 | $210 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $67 | $81 | $100 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $76 | $214 | $467 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $87 | $114 | $135 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $107 | $160 | $195 |
| EMG needle each extremity complete CPT 95886 • Neurology | $62 | $93 | $154 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $96 | $109 | $122 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $120 | $154 | $211 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $76 | $163 | $250 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $87 | $186 | $332 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $250 | $294 | $325 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $80 | $101 | $126 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $100 | $135 | $183 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $138 | $196 | $280 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $183 | $255 | $352 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $18 | $33 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $56 | $68 | $75 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $94 | $111 | $123 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $12 | $87 | $183 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $187 | $223 | $247 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $133 | $169 | $201 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $181 | $211 | $236 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $162 | $275 | $349 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $52 | $92 | $156 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $95 | $125 | $156 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $111 | $142 | $179 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $95 | $109 | $125 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $86 | $145 | $184 |
| Consultation office low complexity CPT 99243 • Office Visits | $10 | $86 | $163 |
| Consultation office high complexity CPT 99245 • Office Visits | $29 | $173 | $254 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $752 | $1,147 | $1,543 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $47 | $66 | $84 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,438 | $1,730 | $2,022 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $295 | $429 | $573 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,477 | $1,758 | $2,040 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $60 | $418 | $775 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $292 | $453 | $750 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $949 | $971 | $994 |