| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $76 | $94 | $107 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $112 | $130 | $164 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $91 | $105 | $135 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $118 | $170 | $273 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $52 | $61 | $81 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $89 | $105 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $134 | $206 |
| Group psychotherapy CPT 90853 • Mental Health | $22 | $45 | $71 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $6 | $9 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $164 | $164 | $164 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $79 | $104 | $129 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $49 | $92 | $135 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $252 | $301 | $351 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $94 | $248 | $379 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $90 | $90 | $91 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $34 | $102 | $170 |
| EMG needle each extremity complete CPT 95886 • Neurology | $97 | $100 | $104 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $47 | $75 | $104 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $117 | $123 | $129 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $83 | $83 | $83 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $102 | $152 | $203 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $297 | $315 | $333 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $65 | $90 | $146 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $112 | $141 | $208 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $113 | $130 | $149 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $146 | $184 | $224 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $36 | $80 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $40 | $59 | $87 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $66 | $93 | $143 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $110 | $124 | $160 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $131 | $178 | $279 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $73 | $81 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $107 | $123 | $169 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $151 | $169 | $185 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $3 | $29 | $47 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $58 | $71 | $92 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $8 | $74 | $111 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $6 | $51 | $72 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $84 | $102 | $143 |
| Consultation office low complexity CPT 99243 • Office Visits | $12 | $61 | $110 |
| Consultation office high complexity CPT 99245 • Office Visits | $102 | $180 | $237 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $251 | $503 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $48 | $56 | $65 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,000 | $1,045 | $1,089 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $32 | $139 | $245 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $134 | $612 | $1,091 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $435 | $508 | $582 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $261 | $279 | $296 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $634 | $691 | $747 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $34 | $350 | $662 |