| Psychotherapy 60 minutes CPT 90837 • Mental Health | $194 | $232 | $271 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $123 | $159 | $187 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $204 | $247 | $290 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $97 | $117 | $137 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $158 | $178 | $198 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $163 | $185 | $206 |
| Group psychotherapy CPT 90853 • Mental Health | $39 | $44 | $48 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $8 | $8 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $139 | $184 | $229 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $132 | $164 | $229 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $134 | $220 | $336 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $88 | $483 | $715 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $608 | $691 | $775 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $102 | $195 | $287 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $128 | $164 | $199 |
| EMG needle each extremity complete CPT 95886 • Neurology | $65 | $112 | $158 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $143 | $154 | $165 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $177 | $183 | $187 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $123 | $180 | $276 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $164 | $285 | $362 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $158 | $424 | $586 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $76 | $101 | $113 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $161 | $168 | $174 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $163 | $224 | $262 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $216 | $290 | $345 |
| Office visit established patient minimal CPT 99211 • Office Visits | $14 | $28 | $36 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $64 | $81 | $92 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $109 | $131 | $142 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $161 | $187 | $202 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $217 | $223 | $230 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $97 | $136 | $157 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $207 | $209 | $211 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $307 | $312 | $317 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $45 | $60 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $83 | $111 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $99 | $158 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $110 | $111 | $112 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $156 | $161 | $165 |
| Consultation office low complexity CPT 99243 • Office Visits | $93 | $128 | $146 |
| Consultation office high complexity CPT 99245 • Office Visits | $337 | $341 | $343 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $962 | $1,009 | $1,055 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $61 | $84 | $106 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,817 | $1,831 | $1,845 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $237 | $329 | $421 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,502 | $1,502 | $1,502 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $995 | $995 | $995 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $288 | $372 | $456 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $715 | $976 | $1,237 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $522 | $679 | $993 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $30 | $99 | $159 |