| Psychotherapy 60 minutes CPT 90837 • Mental Health | $139 | $185 | $230 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $123 | $190 | $284 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $197 | $283 | $345 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $81 | $91 | $109 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $151 | $151 | $151 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $157 | $157 | $157 |
| Group psychotherapy CPT 90853 • Mental Health | $37 | $37 | $37 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $7 | $10 | $11 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $144 | $249 | $354 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $312 | $338 | $364 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $311 | $337 | $363 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $87 | $375 | $904 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $136 | $412 | $670 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $172 | $172 | $172 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $125 | $125 | $125 |
| EMG needle each extremity complete CPT 95886 • Neurology | $70 | $134 | $233 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $57 | $57 | $57 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $70 | $70 | $70 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $206 | $206 | $206 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $71 | $198 | $269 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $440 | $440 | $440 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $111 | $113 | $116 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $93 | $146 | $172 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $139 | $217 | $256 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $288 | $385 | $529 |
| Office visit established patient minimal CPT 99211 • Office Visits | $14 | $24 | $35 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $55 | $65 | $87 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $139 | $165 | $217 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $94 | $199 | $307 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $150 | $237 | $285 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $97 | $132 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $131 | $178 | $202 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $269 | $320 | $420 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $38 | $65 | $79 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $123 | $146 | $192 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $110 | $162 | $190 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $125 | $127 | $130 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $110 | $157 | $183 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $116 | $175 |
| Consultation office high complexity CPT 99245 • Office Visits | $328 | $369 | $440 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,265 | $1,466 | $1,666 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $89 | $96 | $104 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $2,691 | $2,916 | $3,140 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $548 | $555 | $562 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $2,492 | $2,700 | $2,908 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $1,151 | $1,247 | $1,343 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $538 | $668 | $797 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,700 | $1,841 | $1,983 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,241 | $1,344 | $1,448 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $245 | $252 | $259 |