| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $69 | $83 | $89 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $96 | $131 | $150 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $79 | $102 | $137 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $111 | $156 | $179 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $70 | $89 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $77 | $92 | $99 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $78 | $93 | $121 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $40 | $51 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $2 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $92 | $100 | $107 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $21 | $56 | $103 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $19 | $61 | $103 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $44 | $194 | $343 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $56 | $171 | $286 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $14 | $27 | $40 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $64 | $111 | $170 |
| EMG needle each extremity complete CPT 95886 • Neurology | $15 | $27 | $39 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $42 | $47 | $52 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $52 | $54 | $55 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $62 | $84 | $112 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $31 | $89 | $147 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $87 | $192 | $297 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $58 | $65 | $73 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $58 | $75 | $92 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $125 | $145 | $177 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $68 | $131 | $167 |
| Office visit established patient minimal CPT 99211 • Office Visits | $7 | $8 | $10 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $20 | $24 | $28 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $41 | $49 | $57 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $16 | $48 | $83 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $74 | $93 | $111 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $44 | $61 | $78 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $16 | $61 | $105 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $44 | $99 | $155 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $5 | $17 | $30 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $55 | $60 | $65 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $77 | $78 | $80 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $40 | $48 | $56 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $13 | $47 | $82 |
| Consultation office low complexity CPT 99243 • Office Visits | $31 | $68 | $94 |
| Consultation office high complexity CPT 99245 • Office Visits | $18 | $83 | $148 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $381 | $427 | $472 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $21 | $24 | $28 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $905 | $1,254 | $1,429 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $129 | $144 | $159 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $837 | $1,086 | $1,336 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $37 | $211 | $385 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $123 | $176 | $230 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $40 | $307 | $574 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $331 | $375 | $418 |