| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $77 | $82 | $89 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $124 | $129 | $133 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $95 | $111 | $135 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $127 | $151 | $164 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $59 | $62 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $93 | $106 | $130 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $86 | $100 | $114 |
| Group psychotherapy CPT 90853 • Mental Health | $26 | $32 | $41 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $3 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $60 | $97 | $164 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $118 | $145 | $172 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $25 | $93 | $135 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $56 | $163 | $252 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $51 | $223 | $346 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $21 | $54 | $90 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $30 | $113 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $94 | $96 | $98 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $36 | $65 | $104 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $65 | $87 | $129 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $78 | $78 | $79 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $77 | $128 | $203 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $167 | $255 | $333 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $39 | $57 | $73 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $67 | $81 | $94 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $89 | $153 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $129 | $181 |
| Office visit established patient minimal CPT 99211 • Office Visits | $16 | $25 | $38 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $13 | $30 | $44 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $48 | $58 | $72 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $69 | $100 | $129 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $98 | $114 | $127 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $38 | $72 | $99 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $20 | $87 | $133 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $38 | $124 | $177 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $5 | $25 | $37 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $29 | $50 | $63 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $63 | $79 | $91 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $50 | $60 | $71 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $53 | $77 | $94 |
| Consultation office low complexity CPT 99243 • Office Visits | $61 | $86 | $108 |
| Consultation office high complexity CPT 99245 • Office Visits | $17 | $136 | $203 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $351 | $504 | $661 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $49 | $54 | $65 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $817 | $960 | $1,104 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $48 | $121 | $194 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $224 | $779 | $1,091 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $89 | $380 | $582 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $209 | $245 | $280 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $38 | $311 | $700 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $510 | $609 | $708 |