| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $78 | $127 | $153 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $136 | $180 | $261 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $126 | $195 | $248 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $177 | $237 | $298 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $92 | $127 | $147 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $102 | $158 | $217 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $107 | $188 | $264 |
| Group psychotherapy CPT 90853 • Mental Health | $29 | $45 | $71 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $7 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $68 | $69 | $70 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $182 | $227 | $271 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $122 | $199 | $277 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $146 | $212 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $80 | $161 | $241 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $112 | $112 | $112 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $127 | $127 | $127 |
| EMG needle each extremity complete CPT 95886 • Neurology | $110 | $119 | $129 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $118 | $118 | $118 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $146 | $155 | $164 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $175 | $186 | $197 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $230 | $245 | $259 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $376 | $394 | $412 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $79 | $100 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $88 | $104 | $119 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $169 | $198 | $227 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $215 | $249 | $282 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $25 | $39 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $48 | $54 | $61 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $67 | $68 | $69 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $105 | $138 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $114 | $133 | $153 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $82 | $111 | $139 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $136 | $186 | $236 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $190 | $234 | $278 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $41 | $55 | $69 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $68 | $83 | $99 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $96 | $108 | $119 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $87 | $93 | $98 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $118 | $151 | $183 |
| Consultation office low complexity CPT 99243 • Office Visits | $150 | $157 | $165 |
| Consultation office high complexity CPT 99245 • Office Visits | $275 | $303 | $332 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $647 | $647 | $647 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $47 | $47 | $47 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,119 | $1,119 | $1,119 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $381 | $381 | $381 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,232 | $1,232 | $1,232 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $556 | $556 | $556 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $400 | $400 | $400 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $947 | $947 | $947 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $729 | $740 | $752 |