| Interactive complexity add-on CPT 90785 • Mental Health | $10 | $18 | $36 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $109 | $243 | $339 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $166 | $272 | $363 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $72 | $128 | $162 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $92 | $112 | $167 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $89 | $151 | $217 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $89 | $151 | $211 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $111 | $193 | $324 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $165 | $233 | $278 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $298 | $317 | $336 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $63 | $124 | $162 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $82 | $167 | $263 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $110 | $225 | $269 |
| Group psychotherapy CPT 90853 • Mental Health | $27 | $44 | $67 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $8 | $13 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $70 | $152 | $259 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $121 | $246 | $436 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $123 | $228 | $390 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $378 | $706 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $80 | $214 | $417 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $105 | $169 | $296 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $150 | $168 | $203 |
| EMG needle each extremity complete CPT 95886 • Neurology | $90 | $113 | $131 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $85 | $134 | $233 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $105 | $136 | $167 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $112 | $178 | $345 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $150 | $167 | $187 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $270 | $357 | $476 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $55 | $89 | $144 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $86 | $146 | $210 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $110 | $188 | $323 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $105 | $211 | $334 |
| Office visit established patient minimal CPT 99211 • Office Visits | $17 | $26 | $39 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $43 | $49 | $61 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $35 | $77 | $101 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $99 | $133 | $210 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $139 | $205 | $281 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $64 | $127 | $200 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $101 | $205 | $272 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $134 | $236 | $401 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $38 | $61 | $78 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $91 | $143 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $92 | $142 | $205 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $62 | $92 | $143 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $88 | $143 | $211 |
| Consultation office straightforward CPT 99241 • Office Visits | $50 | $50 | $50 |
| Consultation office low complexity CPT 99243 • Office Visits | $96 | $185 | $244 |
| Consultation office high complexity CPT 99245 • Office Visits | $180 | $257 | $445 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $530 | $1,104 | $1,678 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $38 | $109 | $179 |