| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $86 | $101 | $119 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $108 | $131 | $142 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $115 | $180 | $337 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $117 | $128 | $140 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $69 | $73 | $81 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $79 | $93 | $104 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $74 | $94 | $107 |
| Group psychotherapy CPT 90853 • Mental Health | $20 | $32 | $58 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $5 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $25 | $48 | $70 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $75 | $164 | $271 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $73 | $140 | $264 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $43 | $145 | $383 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $80 | $443 | $852 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $64 | $99 | $128 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $35 | $137 | $246 |
| EMG needle each extremity complete CPT 95886 • Neurology | $50 | $89 | $131 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $37 | $74 | $101 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $73 | $131 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $60 | $99 | $197 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $98 | $151 | $206 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $321 | $392 | $419 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $6 | $72 | $103 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $13 | $92 | $145 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $23 | $211 | $433 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $21 | $189 | $282 |
| Office visit established patient minimal CPT 99211 • Office Visits | $17 | $25 | $39 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $5 | $33 | $61 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $40 | $72 | $101 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $47 | $152 | $285 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $66 | $187 | $385 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $40 | $94 | $137 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $40 | $123 | $185 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $76 | $182 | $278 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $24 | $42 | $68 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $64 | $76 | $97 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $102 | $122 | $143 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $72 | $111 | $199 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $91 | $109 | $144 |
| Consultation office low complexity CPT 99243 • Office Visits | $115 | $134 | $168 |
| Consultation office high complexity CPT 99245 • Office Visits | $85 | $226 | $308 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $30 | $166 | $404 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $17 | $49 | $100 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,101 | $1,352 | $1,602 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $30 | $136 | $195 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $459 | $1,172 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $47 | $293 | $539 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $260 | $319 | $377 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $190 | $427 | $665 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $76 | $464 | $729 |