| Psychotherapy 45 minutes CPT 90834 • Mental Health | $72 | $85 | $101 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $66 | $84 | $97 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $103 | $117 | $133 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $80 | $98 | $108 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $122 | $148 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $63 | $75 | $92 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $80 | $84 | $89 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $93 | $99 | $102 |
| Group psychotherapy CPT 90853 • Mental Health | $18 | $32 | $46 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $0 | $3 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $23 | $76 | $103 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $10 | $112 | $215 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $18 | $91 | $149 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $274 | $307 | $353 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $53 | $221 | $409 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $54 | $82 | $106 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $76 | $115 | $143 |
| EMG needle each extremity complete CPT 95886 • Neurology | $83 | $87 | $92 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $50 | $75 | $90 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $48 | $68 | $106 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $75 | $104 | $133 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $74 | $134 | $167 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $266 | $276 | $288 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $52 | $58 | $61 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $72 | $85 | $94 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $109 | $133 | $157 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $19 | $95 | $170 |
| Office visit established patient minimal CPT 99211 • Office Visits | $1 | $12 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $15 | $33 | $47 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $39 | $58 | $76 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $48 | $73 | $88 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $19 | $62 | $119 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $61 | $72 | $84 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $14 | $88 | $134 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $15 | $127 | $197 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $36 | $43 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $49 | $58 | $66 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $80 | $89 | $102 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $7 | $45 | $69 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $50 | $79 | $98 |
| Consultation office low complexity CPT 99243 • Office Visits | $13 | $58 | $103 |
| Consultation office high complexity CPT 99245 • Office Visits | $156 | $181 | $199 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $68 | $363 | $513 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $4 | $34 | $60 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $877 | $1,030 | $1,206 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $142 | $202 | $261 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $167 | $770 | $1,112 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $385 | $479 | $541 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $162 | $237 | $282 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $381 | $680 | $929 |