| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $53 | $64 | $69 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $88 | $98 | $112 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $81 | $99 | $110 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $130 | $131 | $134 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $64 | $76 | $89 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $64 | $76 | $87 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $90 | $93 | $98 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $23 | $24 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $0 | $2 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $31 | $69 | $107 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $26 | $122 | $218 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $99 | $158 | $218 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $279 | $311 | $343 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $91 | $92 | $94 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $58 | $85 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $89 | $127 | $159 |
| EMG needle each extremity complete CPT 95886 • Neurology | $59 | $70 | $82 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $18 | $45 | $73 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $51 | $52 | $52 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $58 | $61 | $62 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $74 | $192 | $309 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $59 | $166 | $272 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $11 | $66 | $122 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $46 | $109 | $173 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $25 | $105 | $164 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $27 | $169 | $333 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $7 | $8 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $23 | $48 | $73 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $7 | $45 | $83 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $83 | $93 | $108 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $57 | $84 | $111 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $59 | $68 | $78 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $61 | $94 | $127 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $186 | $202 | $217 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $36 | $64 | $92 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $92 | $104 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $41 | $68 | $96 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $6 | $36 | $67 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $93 | $132 | $172 |
| Consultation office low complexity CPT 99243 • Office Visits | $89 | $109 | $129 |
| Consultation office high complexity CPT 99245 • Office Visits | $121 | $163 | $206 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $84 | $318 | $552 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $4 | $23 | $41 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $905 | $1,166 | $1,482 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $26 | $124 | $222 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $44 | $904 | $1,764 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $486 | $648 | $811 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $291 | $336 | $381 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $44 | $309 | $574 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $418 | $540 | $662 |