| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $89 | $117 | $146 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $150 | $187 | $223 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $121 | $129 | $136 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $122 | $150 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $58 | $58 | $58 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $86 | $101 | $117 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $98 | $110 | $121 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $38 | $52 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $111 | $169 | $226 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $107 | $114 | $118 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $117 | $121 | $126 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $93 | $195 | $297 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $348 | $523 | $697 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $49 | $49 | $49 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $83 | $113 | $128 |
| EMG needle each extremity complete CPT 95886 • Neurology | $78 | $80 | $82 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $42 | $56 | $71 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $88 | $97 | $114 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $46 | $97 | $148 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $102 | $120 | $138 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $178 | $201 | $224 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $61 | $71 | $82 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $62 | $89 | $116 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $109 | $125 | $133 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $148 | $203 | $272 |
| Office visit established patient minimal CPT 99211 • Office Visits | $23 | $24 | $25 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $24 | $37 | $50 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $48 | $64 | $81 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $65 | $100 | $117 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $148 | $153 | $157 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $144 | $154 | $164 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $148 | $185 | $222 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $167 | $190 | $217 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $62 | $92 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $74 | $84 | $95 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $106 | $109 | $112 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $68 | $80 | $92 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $98 | $108 | $116 |
| Consultation office low complexity CPT 99243 • Office Visits | $99 | $120 | $142 |
| Consultation office high complexity CPT 99245 • Office Visits | $210 | $232 | $242 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $479 | $519 | $560 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $39 | $43 | $47 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,104 | $1,139 | $1,174 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $169 | $209 | $248 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,021 | $1,021 | $1,021 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $470 | $470 | $470 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $191 | $214 | $237 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $700 | $722 | $744 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $543 | $550 | $557 |