| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $87 | $91 | $98 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $137 | $159 | $184 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $117 | $128 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $140 | $144 | $150 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $62 | $76 | $95 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $80 | $102 | $127 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $104 | $128 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $27 | $54 | $78 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $3 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $61 | $105 | $131 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $66 | $96 | $125 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $123 | $143 | $172 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $280 | $300 | $311 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $49 | $273 | $429 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $45 | $69 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $81 | $132 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $20 | $54 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $18 | $53 | $89 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $83 | $115 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $26 | $80 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $35 | $131 | $181 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $101 | $163 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $59 | $67 | $71 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $41 | $74 | $109 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $24 | $104 | $162 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $108 | $135 | $163 |
| Office visit established patient minimal CPT 99211 • Office Visits | $22 | $22 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $33 | $44 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $33 | $64 | $88 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $76 | $96 | $117 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $82 | $123 | $149 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $98 | $138 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $133 | $151 | $170 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $193 | $195 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $38 | $88 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $41 | $80 | $129 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $97 | $109 | $129 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $33 | $77 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $15 | $82 | $129 |
| Consultation office low complexity CPT 99243 • Office Visits | $49 | $94 | $118 |
| Consultation office high complexity CPT 99245 • Office Visits | $18 | $163 | $254 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $90 | $424 | $601 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $5 | $29 | $44 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $896 | $1,051 | $1,130 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $166 | $200 | $234 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,039 | $1,078 | $1,149 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $365 | $441 | $482 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $224 | $225 | $227 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $30 | $385 | $714 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $104 | $312 | $520 |