| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $92 | $105 | $125 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $164 | $212 | $286 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $136 | $180 | $223 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $133 | $155 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $64 | $69 | $75 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $103 | $122 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $125 | $161 | $217 |
| Group psychotherapy CPT 90853 • Mental Health | $38 | $38 | $38 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $6 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $96 | $193 | $290 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $17 | $69 | $121 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $134 | $198 | $279 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $90 | $344 | $518 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $596 | $684 | $772 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $54 | $84 | $107 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $114 | $127 | $134 |
| EMG needle each extremity complete CPT 95886 • Neurology | $128 | $157 | $201 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $42 | $64 | $86 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $93 | $113 | $140 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $105 | $143 | $201 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $71 | $187 | $257 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $285 | $415 | $628 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $60 | $80 | $97 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $96 | $130 | $149 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $139 | $185 | $257 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $180 | $299 | $372 |
| Office visit established patient minimal CPT 99211 • Office Visits | $13 | $21 | $31 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $50 | $76 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $65 | $80 | $119 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $80 | $128 | $172 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $196 | $246 | $300 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $97 | $124 | $171 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $140 | $170 | $199 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $168 | $208 | $232 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $54 | $86 | $130 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $110 | $125 | $149 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $110 | $150 | $215 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $99 | $121 | $144 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $103 | $139 | $153 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $108 | $200 |
| Consultation office high complexity CPT 99245 • Office Visits | $233 | $243 | $263 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $558 | $916 | $1,273 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $39 | $67 | $95 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,237 | $1,839 | $2,441 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $212 | $212 | $212 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,096 | $1,677 | $2,259 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $506 | $517 | $531 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $306 | $306 | $306 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,011 | $1,011 | $1,011 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,128 | $1,128 | $1,128 |