| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $95 | $100 | $105 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $121 | $139 | $156 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $142 | $148 | $154 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $153 | $188 | $223 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $86 | $116 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $93 | $99 | $105 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $125 | $129 | $133 |
| Group psychotherapy CPT 90853 • Mental Health | $38 | $43 | $48 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $6 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $40 | $116 | $191 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $120 | $153 | $186 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $147 | $147 | $147 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $67 | $67 | $67 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $272 | $272 | $272 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $105 | $106 | $106 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $77 | $109 | $152 |
| EMG needle each extremity complete CPT 95886 • Neurology | $123 | $123 | $123 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $73 | $73 | $73 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $73 | $90 | $106 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $88 | $107 | $127 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $146 | $146 | $146 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $167 | $167 | $167 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $54 | $54 | $54 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $40 | $77 | $115 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $13 | $116 | $175 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $173 | $184 | $201 |
| Office visit established patient minimal CPT 99211 • Office Visits | $25 | $32 | $40 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $40 | $44 | $47 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $40 | $58 | $75 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $40 | $74 | $100 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $40 | $97 | $153 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $40 | $74 | $107 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $40 | $94 | $147 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $40 | $137 | $216 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $40 | $42 | $45 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $40 | $60 | $80 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $40 | $77 | $114 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $40 | $61 | $82 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $82 | $100 | $117 |
| Consultation office low complexity CPT 99243 • Office Visits | $9 | $81 | $154 |
| Consultation office high complexity CPT 99245 • Office Visits | $40 | $140 | $278 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $40 | $386 | $733 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $40 | $57 | $74 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,268 | $1,294 | $1,319 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $361 | $361 | $361 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $40 | $628 | $1,215 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $538 | $592 | $646 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $470 | $470 | $470 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $40 | $574 | $1,109 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $40 | $415 | $789 |