| Psychotherapy 60 minutes CPT 90837 • Mental Health | $137 | $153 | $170 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $126 | $180 | $263 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $154 | $154 | $154 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $79 | $95 | $111 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $86 | $162 | $245 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $103 | $162 | $254 |
| Group psychotherapy CPT 90853 • Mental Health | $24 | $40 | $69 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $7 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $97 | $227 | $368 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $44 | $162 | $257 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $136 | $212 | $294 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $440 | $581 | $827 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $73 | $492 | $950 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $58 | $163 | $284 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $93 | $153 | $212 |
| EMG needle each extremity complete CPT 95886 • Neurology | $42 | $124 | $212 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $46 | $127 | $227 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $55 | $141 | $292 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $66 | $161 | $254 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $119 | $263 | $460 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $126 | $427 | $698 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $81 | $119 | $174 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $117 | $167 | $252 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $179 | $210 | $280 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $182 | $285 | $484 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $38 | $64 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $27 | $54 | $101 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $79 | $116 | $171 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $85 | $126 | $183 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $157 | $225 | $339 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $101 | $156 | $239 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $149 | $214 | $324 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $219 | $304 | $480 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $42 | $79 | $146 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $78 | $116 | $171 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $113 | $167 | $247 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $79 | $117 | $171 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $113 | $156 | $254 |
| Consultation office low complexity CPT 99243 • Office Visits | $64 | $120 | $160 |
| Consultation office high complexity CPT 99245 • Office Visits | $236 | $315 | $525 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $844 | $1,131 | $1,417 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $95 | $128 | $160 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,474 | $1,677 | $1,951 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $64 | $266 | $468 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,653 | $2,029 | $2,564 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $872 | $872 | $872 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $44 | $247 | $369 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $55 | $715 | $1,103 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $794 | $1,044 | $1,341 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $124 | $227 | $339 |