| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $123 | $133 | $143 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $156 | $182 | $220 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $190 | $244 | $298 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $195 | $209 | $222 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $86 | $132 | $178 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $126 | $147 | $178 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $151 | $207 | $286 |
| Group psychotherapy CPT 90853 • Mental Health | $37 | $41 | $45 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $7 | $9 | $13 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $240 | $310 | $421 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $173 | $250 | $333 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $210 | $284 | $431 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $100 | $488 | $894 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $525 | $627 | $678 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $95 | $149 | $186 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $51 | $158 | $221 |
| EMG needle each extremity complete CPT 95886 • Neurology | $140 | $188 | $272 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $132 | $132 | $132 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $92 | $139 | $184 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $90 | $146 | $250 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $186 | $236 | $264 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $325 | $422 | $520 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $87 | $107 | $126 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $171 | $179 | $185 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $137 | $227 | $281 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $60 | $281 | $539 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $29 | $35 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $74 | $92 | $115 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $123 | $130 | $138 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $90 | $142 | $201 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $247 | $298 | $368 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $108 | $152 | $174 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $169 | $231 | $288 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $226 | $294 | $349 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $64 | $66 | $67 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $102 | $134 | $175 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $154 | $170 | $179 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $108 | $119 | $125 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $136 | $164 | $184 |
| Consultation office low complexity CPT 99243 • Office Visits | $159 | $199 | $251 |
| Consultation office high complexity CPT 99245 • Office Visits | $285 | $330 | $402 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $913 | $1,208 | $1,543 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $55 | $88 | $123 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,427 | $1,962 | $2,437 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $276 | $426 | $573 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $326 | $1,312 | $2,259 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $643 | $842 | $1,041 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $374 | $582 | $750 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $949 | $1,438 | $2,356 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $607 | $941 | $1,127 |