| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $83 | $102 | $137 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $120 | $128 | $138 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $101 | $132 | $158 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $118 | $139 | $167 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $65 | $81 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $101 | $112 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $81 | $113 | $132 |
| Group psychotherapy CPT 90853 • Mental Health | $22 | $39 | $56 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $4 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $135 | $168 | $184 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $14 | $62 | $130 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $129 | $145 | $153 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $54 | $177 | $323 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $74 | $301 | $407 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $44 | $89 | $116 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $30 | $116 | $167 |
| EMG needle each extremity complete CPT 95886 • Neurology | $40 | $63 | $86 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $17 | $46 | $83 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $46 | $82 | $112 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $61 | $68 | $73 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $76 | $108 | $168 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $52 | $217 | $297 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $50 | $63 | $92 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $65 | $103 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $92 | $169 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $42 | $130 | $175 |
| Office visit established patient minimal CPT 99211 • Office Visits | $1 | $18 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $48 | $86 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $60 | $91 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $11 | $64 | $110 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $102 | $226 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $110 | $148 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $121 | $140 | $164 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $23 | $181 | $264 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $29 | $58 | $115 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $42 | $78 | $115 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $92 | $107 | $123 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $27 | $83 | $117 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $80 | $121 | $174 |
| Consultation office low complexity CPT 99243 • Office Visits | $42 | $61 | $96 |
| Consultation office high complexity CPT 99245 • Office Visits | $21 | $160 | $269 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $42 | $478 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $35 | $45 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,157 | $1,280 | $1,404 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $29 | $139 | $245 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $116 | $779 | $1,155 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $114 | $456 | $763 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $56 | $214 | $296 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $42 | $370 | $733 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $152 | $394 | $534 |