| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $87 | $137 | $209 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $138 | $186 | $324 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $79 | $187 | $278 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $124 | $253 | $336 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $46 | $85 | $162 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $92 | $146 | $263 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $107 | $196 | $271 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $50 | $67 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $8 | $13 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $35 | $205 | $511 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $80 | $232 | $436 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $13 | $207 | $345 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $123 | $145 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $80 | $422 | $971 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $48 | $107 | $165 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $67 | $136 | $203 |
| EMG needle each extremity complete CPT 95886 • Neurology | $14 | $84 | $131 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $34 | $84 | $134 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $56 | $129 | $167 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $54 | $108 | $200 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $157 | $228 | $267 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $237 | $467 | $753 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $11 | $88 | $144 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $113 | $210 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $45 | $162 | $258 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $45 | $269 | $403 |
| Office visit established patient minimal CPT 99211 • Office Visits | $12 | $26 | $45 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $33 | $59 | $84 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $6 | $80 | $142 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $89 | $134 | $210 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $171 | $281 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $13 | $130 | $200 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $146 | $194 | $272 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $158 | $248 | $401 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $45 | $74 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $66 | $109 | $143 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $71 | $136 | $205 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $61 | $108 | $143 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $102 | $167 | $211 |
| Consultation office low complexity CPT 99243 • Office Visits | $11 | $140 | $244 |
| Consultation office high complexity CPT 99245 • Office Visits | $255 | $346 | $445 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $461 | $1,069 | $1,678 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $15 | $121 | $226 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $641 | $1,874 | $3,851 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $166 | $580 | $994 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $595 | $2,274 | $3,954 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $1,279 | $2,076 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $117 | $544 | $970 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $143 | $1,402 | $2,661 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $63 | $976 | $2,135 |