| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $77 | $88 | $101 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $116 | $131 | $149 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $85 | $113 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $122 | $134 | $150 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $67 | $76 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $94 | $131 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $80 | $111 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $36 | $58 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $62 | $97 | $123 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $44 | $87 | $127 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $17 | $84 | $133 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $54 | $146 | $310 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $54 | $190 | $429 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $50 | $91 | $112 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $78 | $110 | $171 |
| EMG needle each extremity complete CPT 95886 • Neurology | $47 | $73 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $42 | $59 | $89 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $41 | $69 | $111 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $76 | $78 | $79 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $82 | $135 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $59 | $163 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $70 | $74 | $82 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $58 | $83 | $109 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $19 | $83 | $132 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $129 | $166 | $190 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $13 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $4 | $35 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $7 | $55 | $88 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $16 | $66 | $99 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $15 | $100 | $149 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $56 | $107 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $44 | $106 | $170 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $154 | $174 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $90 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $67 | $102 | $129 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $50 | $92 | $129 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $68 | $98 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $82 | $103 | $129 |
| Consultation office low complexity CPT 99243 • Office Visits | $46 | $81 | $115 |
| Consultation office high complexity CPT 99245 • Office Visits | $32 | $144 | $254 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $75 | $417 | $601 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $28 | $38 | $49 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $772 | $938 | $1,104 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $231 | $274 | $303 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $637 | $1,047 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $384 | $450 | $483 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $30 | $125 | $220 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $44 | $325 | $572 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $52 | $377 | $662 |