| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $61 | $74 | $91 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $101 | $112 | $126 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $90 | $98 | $105 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $124 | $133 | $151 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $64 | $78 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $69 | $73 | $78 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $78 | $87 | $92 |
| Group psychotherapy CPT 90853 • Mental Health | $27 | $41 | $49 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $45 | $101 | $135 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $45 | $74 | $131 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $82 | $100 | $117 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $46 | $126 | $285 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $174 | $261 | $328 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $28 | $74 | $97 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $67 | $91 | $138 |
| EMG needle each extremity complete CPT 95886 • Neurology | $43 | $62 | $72 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $16 | $43 | $77 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $46 | $83 | $104 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $55 | $87 | $119 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $70 | $130 | $164 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $151 | $219 | $270 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $55 | $61 | $72 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $70 | $87 | $107 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $85 | $95 | $104 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $141 | $158 | $173 |
| Office visit established patient minimal CPT 99211 • Office Visits | $2 | $12 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $33 | $40 | $49 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $55 | $60 | $65 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $63 | $88 | $110 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $92 | $115 | $140 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $45 | $91 | $146 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $12 | $89 | $146 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $146 | $164 | $185 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $17 | $38 | $64 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $58 | $63 | $66 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $45 | $74 | $94 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $31 | $51 | $66 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $84 | $93 | $97 |
| Consultation office low complexity CPT 99243 • Office Visits | $45 | $65 | $106 |
| Consultation office high complexity CPT 99245 • Office Visits | $17 | $122 | $185 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $45 | $350 | $512 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $42 | $52 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $885 | $901 | $916 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $45 | $136 | $228 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $45 | $597 | $896 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $39 | $301 | $472 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $23 | $167 | $311 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $435 | $624 | $813 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $584 | $699 | $814 |