| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $145 | $158 | $169 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $137 | $192 | $246 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $136 | $179 | $210 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $146 | $202 | $257 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $54 | $96 | $123 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $179 | $208 | $245 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $108 | $166 | $204 |
| Group psychotherapy CPT 90853 • Mental Health | $44 | $47 | $49 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $10 | $11 | $13 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $152 | $251 | $350 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $64 | $207 | $299 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $159 | $214 | $268 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $110 | $338 | $604 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $110 | $269 | $428 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $99 | $166 | $284 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $33 | $75 | $158 |
| EMG needle each extremity complete CPT 95886 • Neurology | $99 | $135 | $170 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $93 | $145 | $177 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $117 | $209 | $292 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $193 | $237 | $262 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $108 | $216 | $336 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $298 | $460 | $572 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $69 | $96 | $127 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $102 | $120 | $138 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $189 | $255 | $297 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $370 | $427 | $484 |
| Office visit established patient minimal CPT 99211 • Office Visits | $17 | $30 | $55 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $46 | $49 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $78 | $99 | $124 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $183 | $209 | $251 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $156 | $207 | $258 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $135 | $164 | $184 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $153 | $201 | $250 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $225 | $358 | $480 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $71 | $76 | $81 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $81 | $112 | $131 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $115 | $161 | $189 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $81 | $113 | $131 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $117 | $188 | $254 |
| Consultation office low complexity CPT 99243 • Office Visits | $114 | $161 | $225 |
| Consultation office high complexity CPT 99245 • Office Visits | $217 | $365 | $525 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $590 | $985 | $1,380 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $49 | $102 | $155 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $2,641 | $2,641 | $2,641 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $767 | $767 | $767 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,356 | $1,979 | $2,711 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $623 | $890 | $1,424 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $665 | $665 | $665 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $44 | $934 | $1,825 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $44 | $887 | $1,464 |