| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $71 | $91 | $101 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $127 | $135 | $150 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $94 | $116 | $137 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $135 | $164 | $179 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $48 | $71 | $89 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $94 | $116 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $98 | $113 | $121 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $42 | $52 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $2 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $59 | $60 | $61 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $44 | $75 | $103 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $74 | $89 | $103 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $200 | $217 | $234 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $56 | $230 | $404 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $59 | $88 | $118 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $64 | $106 | $170 |
| EMG needle each extremity complete CPT 95886 • Neurology | $44 | $45 | $45 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $39 | $46 | $52 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $41 | $50 | $59 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $78 | $94 | $126 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $37 | $92 | $147 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $148 | $206 | $264 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $39 | $43 | $47 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $7 | $50 | $93 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $108 | $128 | $142 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $146 | $165 | $190 |
| Office visit established patient minimal CPT 99211 • Office Visits | $20 | $32 | $44 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $14 | $27 | $39 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $44 | $57 | $70 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $44 | $66 | $79 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $85 | $101 | $117 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $79 | $84 | $88 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $127 | $128 | $128 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $16 | $102 | $188 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $50 | $69 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $9 | $32 | $55 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $44 | $62 | $80 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $68 | $82 | $95 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $13 | $53 | $93 |
| Consultation office low complexity CPT 99243 • Office Visits | $84 | $96 | $107 |
| Consultation office high complexity CPT 99245 • Office Visits | $44 | $120 | $195 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $284 | $398 | $513 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $24 | $33 | $43 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,104 | $1,266 | $1,429 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $61 | $146 | $231 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $200 | $611 | $1,021 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $385 | $425 | $466 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $56 | $158 | $260 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $181 | $440 | $700 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $497 | $503 | $510 |