| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $89 | $106 | $118 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $128 | $159 | $223 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $116 | $132 | $145 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $111 | $146 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $85 | $85 | $85 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $117 | $119 | $125 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $80 | $108 | $121 |
| Group psychotherapy CPT 90853 • Mental Health | $40 | $43 | $44 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $52 | $106 | $154 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $101 | $145 | $218 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $90 | $119 | $149 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $254 | $379 | $587 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $71 | $256 | $348 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $40 | $40 | $40 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $98 | $118 | $128 |
| EMG needle each extremity complete CPT 95886 • Neurology | $34 | $75 | $112 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $46 | $62 | $71 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $52 | $76 | $88 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $60 | $77 | $112 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $58 | $140 | $223 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $87 | $178 | $224 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $39 | $61 | $82 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $91 | $110 | $122 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $141 | $156 | $176 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $158 | $168 | $180 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $27 | $37 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $20 | $33 | $42 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $39 | $61 | $74 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $88 | $126 | $174 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $85 | $107 | $118 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $108 | $139 | $164 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $105 | $120 | $148 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $155 | $166 | $185 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $31 | $53 | $92 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $63 | $72 | $80 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $80 | $81 | $82 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $64 | $83 | $92 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $82 | $95 | $116 |
| Consultation office low complexity CPT 99243 • Office Visits | $79 | $140 | $199 |
| Consultation office high complexity CPT 99245 • Office Visits | $144 | $186 | $242 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $421 | $459 | $479 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $28 | $36 | $39 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $905 | $1,085 | $1,174 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $205 | $237 | $257 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,764 | $1,764 | $1,764 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $385 | $385 | $385 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $230 | $234 | $237 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $574 | $687 | $744 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $543 | $656 | $881 |