| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $89 | $109 | $143 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $150 | $175 | $220 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $94 | $140 | $188 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $135 | $155 | $178 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $61 | $78 | $110 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $100 | $111 | $130 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $104 | $131 | $169 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $35 | $45 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $3 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $6 | $35 | $65 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $20 | $78 | $111 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $128 | $133 | $138 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $376 | $431 | $485 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $286 | $350 | $413 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $24 | $32 | $40 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $34 | $116 | $172 |
| EMG needle each extremity complete CPT 95886 • Neurology | $21 | $34 | $48 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $48 | $73 | $98 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $58 | $93 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $49 | $95 | $140 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $88 | $133 | $179 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $144 | $223 | $302 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $82 | $83 | $85 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $10 | $91 | $173 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $112 | $186 | $264 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $90 | $131 | $158 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $18 | $27 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $46 | $48 | $50 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $8 | $63 | $118 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $88 | $125 | $171 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $111 | $119 | $127 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $159 | $160 | $161 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $44 | $75 | $105 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $16 | $85 | $155 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $44 | $54 | $63 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $60 | $87 | $114 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $41 | $60 | $80 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $29 | $42 | $56 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $9 | $54 | $100 |
| Consultation office low complexity CPT 99243 • Office Visits | $8 | $59 | $126 |
| Consultation office high complexity CPT 99245 • Office Visits | $248 | $279 | $311 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $280 | $455 | $629 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $9 | $22 | $34 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $905 | $1,167 | $1,429 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $212 | $217 | $222 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $905 | $963 | $1,021 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $62 | $437 | $811 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $44 | $137 | $230 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $700 | $803 | $906 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $497 | $689 | $881 |