| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $71 | $89 | $100 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $101 | $127 | $157 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $91 | $126 | $185 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $101 | $141 | $184 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $50 | $60 | $72 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $106 | $133 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $87 | $112 | $157 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $37 | $44 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $0 | $2 | $3 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $17 | $23 | $30 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $17 | $17 | $17 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $53 | $93 | $133 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $53 | $202 | $351 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $226 | $344 | $429 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $56 | $83 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $26 | $93 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $97 | $97 | $98 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $31 | $60 | $89 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $56 | $83 | $111 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $56 | $56 | $56 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $71 | $123 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $224 | $255 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $48 | $70 | $91 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $90 | $129 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $104 | $135 | $169 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $131 | $185 | $216 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $20 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $54 | $55 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $43 | $79 | $110 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $78 | $112 | $160 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $122 | $150 | $173 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $15 | $82 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $13 | $102 | $169 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $140 | $170 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $40 | $76 | $110 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $62 | $91 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $88 | $113 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $73 | $110 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $90 | $109 | $143 |
| Consultation office low complexity CPT 99243 • Office Visits | $108 | $141 | $170 |
| Consultation office high complexity CPT 99245 • Office Visits | $28 | $161 | $254 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $30 | $295 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $34 | $38 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $848 | $848 | $848 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $178 | $220 | $245 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $97 | $164 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $72 | $277 | $482 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $30 | $176 | $296 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $30 | $389 | $747 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $264 | $407 |