| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $99 | $114 | $129 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $244 | $316 | $387 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $311 | $327 | $342 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $374 | $395 | $417 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $179 | $181 | $183 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $128 | $142 | $156 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $291 | $306 | $320 |
| Group psychotherapy CPT 90853 • Mental Health | $44 | $64 | $84 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $11 | $13 | $14 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $199 | $215 | $230 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $221 | $283 | $391 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $236 | $307 | $378 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $74 | $596 | $1,118 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $321 | $805 | $1,288 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $67 | $193 | $318 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $113 | $174 | $236 |
| EMG needle each extremity complete CPT 95886 • Neurology | $272 | $272 | $272 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $76 | $165 | $255 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $96 | $205 | $316 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $104 | $235 | $367 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $261 | $378 | $496 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $317 | $562 | $807 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $81 | $89 | $96 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $96 | $166 | $237 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $132 | $153 | $165 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $248 | $433 | $586 |
| Office visit established patient minimal CPT 99211 • Office Visits | $15 | $40 | $64 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $52 | $74 | $97 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $85 | $121 | $191 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $106 | $224 | $341 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $379 | $400 | $421 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $97 | $188 | $290 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $277 | $334 | $391 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $198 | $273 | $370 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $106 | $113 | $120 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $169 | $182 | $209 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $130 | $234 | $317 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $211 | $219 | $226 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $181 | $269 | $319 |
| Consultation office low complexity CPT 99243 • Office Visits | $173 | $221 | $301 |
| Consultation office high complexity CPT 99245 • Office Visits | $338 | $539 | $687 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,083 | $1,379 | $1,676 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $67 | $98 | $128 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,505 | $2,397 | $3,289 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $264 | $476 | $687 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,890 | $2,613 | $3,337 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $726 | $799 | $873 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $382 | $450 | $518 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,236 | $1,262 | $1,289 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,443 | $1,555 | $1,666 |