| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $68 | $74 | $83 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $140 | $157 | $185 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $94 | $129 | $149 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $114 | $160 | $184 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $67 | $72 | $75 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $84 | $105 | $133 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $99 | $128 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $40 | $47 | $53 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $3 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $46 | $46 | $46 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $132 | $132 | $132 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $134 | $134 | $134 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $56 | $56 | $56 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $348 | $348 | $348 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $50 | $50 | $50 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $97 | $97 | $97 |
| EMG needle each extremity complete CPT 95886 • Neurology | $45 | $45 | $45 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $52 | $52 | $52 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $47 | $47 | $47 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $60 | $60 | $60 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $91 | $91 | $91 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $57 | $57 | $57 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $59 | $74 | $92 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $82 | $109 | $138 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $133 | $150 | $181 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $86 | $169 | $212 |
| Office visit established patient minimal CPT 99211 • Office Visits | $1 | $17 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $46 | $50 | $56 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $66 | $95 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $19 | $87 | $140 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $54 | $128 | $185 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $79 | $88 | $97 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $93 | $110 | $128 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $29 | $76 | $124 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $19 | $33 | $47 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $71 | $87 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $72 | $113 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $77 | $87 | $97 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $51 | $72 | $93 |
| Consultation office low complexity CPT 99243 • Office Visits | $14 | $53 | $92 |
| Consultation office high complexity CPT 99245 • Office Visits | $172 | $181 | $191 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $53 | $53 | $53 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $8 | $8 | $8 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $792 | $792 | $792 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $39 | $39 | $39 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $45 | $45 | $45 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $355 | $355 | $355 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $45 | $45 | $45 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $739 | $739 | $739 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $45 | $45 | $45 |