| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $63 | $76 | $89 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $96 | $123 | $150 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $91 | $113 | $136 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $111 | $144 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $53 | $53 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $88 | $99 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $80 | $101 | $121 |
| Group psychotherapy CPT 90853 • Mental Health | $44 | $44 | $44 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $6 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $107 | $109 | $111 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $118 | $150 | $214 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $103 | $110 | $117 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $297 | $437 | $577 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $348 | $517 | $685 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $92 | $92 | $92 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $66 | $108 | $132 |
| EMG needle each extremity complete CPT 95886 • Neurology | $35 | $57 | $78 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $71 | $111 | $152 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $88 | $123 | $193 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $46 | $54 | $62 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $131 | $135 | $138 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $224 | $353 | $482 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $80 | $81 | $82 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $58 | $87 | $116 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $109 | $128 | $150 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $189 | $246 | $328 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $21 | $25 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $42 | $50 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $81 | $81 | $81 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $88 | $110 | $125 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $111 | $134 | $157 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $78 | $111 | $144 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $148 | $183 | $218 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $155 | $186 | $217 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $61 | $92 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $55 | $75 | $95 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $80 | $96 | $112 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $92 | $104 | $115 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $82 | $99 | $116 |
| Consultation office low complexity CPT 99243 • Office Visits | $62 | $112 | $195 |
| Consultation office high complexity CPT 99245 • Office Visits | $206 | $251 | $305 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $479 | $728 | $977 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $28 | $34 | $39 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,174 | $1,523 | $1,873 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $189 | $219 | $248 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $837 | $837 | $837 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $797 | $797 | $797 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $237 | $356 | $475 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $744 | $966 | $1,187 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $543 | $704 | $865 |