| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $65 | $75 | $86 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $99 | $123 | $148 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $77 | $107 | $136 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $93 | $135 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $50 | $62 | $75 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $73 | $79 | $85 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $75 | $88 | $100 |
| Group psychotherapy CPT 90853 • Mental Health | $20 | $35 | $51 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $100 | $106 | $111 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $97 | $108 | $119 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $97 | $107 | $118 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $41 | $199 | $356 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $267 | $343 | $418 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $38 | $84 | $107 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $60 | $123 | $155 |
| EMG needle each extremity complete CPT 95886 • Neurology | $36 | $65 | $94 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $30 | $58 | $86 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $87 | $100 | $108 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $58 | $58 | $58 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $78 | $123 | $168 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $217 | $245 | $273 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $54 | $59 | $62 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $77 | $86 | $96 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $97 | $119 | $143 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $131 | $156 | $188 |
| Office visit established patient minimal CPT 99211 • Office Visits | $16 | $20 | $23 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $32 | $43 | $49 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $53 | $70 | $78 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $77 | $99 | $110 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $80 | $117 | $154 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $73 | $108 | $144 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $98 | $123 | $147 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $144 | $170 | $211 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $28 | $60 | $92 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $52 | $72 | $92 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $74 | $91 | $108 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $52 | $72 | $92 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $76 | $90 | $112 |
| Consultation office low complexity CPT 99243 • Office Visits | $88 | $110 | $138 |
| Consultation office high complexity CPT 99245 • Office Visits | $161 | $209 | $234 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $393 | $475 | $558 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $26 | $33 | $39 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $845 | $1,012 | $1,180 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $177 | $212 | $248 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $782 | $939 | $1,096 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $359 | $457 | $507 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $169 | $169 | $169 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $536 | $536 | $536 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $390 | $602 | $814 |