| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $77 | $106 | $139 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $111 | $144 | $195 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $115 | $145 | $184 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $143 | $170 | $204 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $54 | $77 | $106 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $82 | $121 | $171 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $97 | $129 | $178 |
| Group psychotherapy CPT 90853 • Mental Health | $22 | $29 | $43 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $8 | $9 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $33 | $149 | $249 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $138 | $167 | $196 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $68 | $140 | $218 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $94 | $180 | $252 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $94 | $212 | $271 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $38 | $111 | $205 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $85 | $169 | $291 |
| EMG needle each extremity complete CPT 95886 • Neurology | $19 | $67 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $52 | $77 | $104 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $98 | $119 | $129 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $155 | $202 | $248 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $102 | $152 | $203 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $67 | $235 | $333 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $29 | $70 | $125 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $71 | $110 | $177 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $85 | $176 | $266 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $80 | $207 | $334 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $20 | $38 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $15 | $29 | $41 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $32 | $69 | $121 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $53 | $101 | $177 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $11 | $115 | $237 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $12 | $84 | $161 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $16 | $114 | $217 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $119 | $199 | $321 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $32 | $42 | $62 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $50 | $74 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $63 | $104 | $165 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $44 | $73 | $117 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $13 | $90 | $172 |
| Consultation office low complexity CPT 99243 • Office Visits | $73 | $107 | $152 |
| Consultation office high complexity CPT 99245 • Office Visits | $203 | $236 | $302 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $69 | $530 | $1,019 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $38 | $66 | $94 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,089 | $1,375 | $1,946 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $159 | $250 | $341 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $818 | $1,241 | $1,813 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $408 | $686 | $1,067 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $57 | $279 | $502 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $981 | $1,144 | $1,307 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $70 | $563 | $1,055 |