| Psychotherapy 60 minutes CPT 90837 • Mental Health | $128 | $157 | $185 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $118 | $155 | $174 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $177 | $177 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $92 | $92 | $92 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $93 | $93 | $93 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $111 | $111 | $111 |
| Group psychotherapy CPT 90853 • Mental Health | $31 | $31 | $31 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $149 | $197 | $244 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $132 | $202 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $121 | $158 | $195 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $116 | $116 | $116 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $91 | $91 | $91 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $35 | $73 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $80 | $96 | $111 |
| EMG needle each extremity complete CPT 95886 • Neurology | $51 | $51 | $51 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $56 | $56 | $56 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $70 | $91 | $112 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $147 | $147 | $147 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $82 | $82 | $82 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $319 | $319 | $319 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $45 | $75 | $108 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $92 | $124 | $157 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $36 | $58 | $103 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $139 | $220 |
| Office visit established patient minimal CPT 99211 • Office Visits | $20 | $28 | $36 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $23 | $41 | $63 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $36 | $64 | $106 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $46 | $79 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $115 | $163 | $211 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $66 | $140 | $205 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $109 | $155 | $201 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $152 | $218 | $298 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $45 | $58 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $36 | $65 | $106 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $36 | $89 | $154 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $36 | $70 | $107 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $93 | $128 | $158 |
| Consultation office low complexity CPT 99243 • Office Visits | $117 | $175 | $205 |
| Consultation office high complexity CPT 99245 • Office Visits | $30 | $178 | $327 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $553 | $747 | $941 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $61 | $84 | $106 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,001 | $1,425 | $1,849 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $259 | $292 | $325 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $902 | $1,302 | $1,701 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $655 | $999 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $354 | $361 | $367 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $871 | $1,055 | $1,240 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $656 | $826 | $997 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $159 | $176 | $193 |