| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $61 | $88 | $115 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $101 | $142 | $184 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $98 | $121 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $150 | $152 | $154 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $80 | $87 | $95 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $73 | $92 | $112 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $93 | $121 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $41 | $58 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $132 | $177 | $222 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $131 | $156 | $204 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $112 | $190 | $240 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $45 | $421 | $609 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $145 | $430 | $715 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $67 | $96 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $97 | $140 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $42 | $101 | $160 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $46 | $68 | $89 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $58 | $94 | $112 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $70 | $144 | $219 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $93 | $222 | $286 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $267 | $276 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $45 | $89 | $115 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $48 | $106 | $165 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $100 | $175 | $263 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $126 | $237 | $347 |
| Office visit established patient minimal CPT 99211 • Office Visits | $12 | $20 | $34 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $26 | $66 | $89 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $43 | $106 | $143 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $49 | $118 | $201 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $70 | $168 | $265 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $64 | $122 | $156 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $87 | $142 | $196 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $129 | $225 | $287 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $26 | $41 | $56 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $48 | $87 | $110 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $68 | $125 | $159 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $47 | $88 | $112 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $69 | $108 | $152 |
| Consultation office low complexity CPT 99243 • Office Visits | $69 | $136 | $171 |
| Consultation office high complexity CPT 99245 • Office Visits | $160 | $231 | $319 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $446 | $762 | $1,078 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $50 | $59 | $67 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $855 | $855 | $855 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $244 | $297 | $351 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $845 | $1,357 | $1,869 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $451 | $599 | $864 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $320 | $362 | $404 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $769 | $1,021 | $1,272 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $551 | $740 | $929 |