| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $98 | $122 | $147 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $106 | $152 | $210 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $83 | $108 | $137 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $152 | $193 | $235 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $81 | $87 | $92 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $77 | $115 | $181 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $128 | $152 | $188 |
| Group psychotherapy CPT 90853 • Mental Health | $33 | $55 | $66 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $42 | $45 | $48 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $44 | $68 | $103 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $85 | $107 | $128 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $44 | $50 | $56 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $235 | $261 | $286 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $40 | $79 | $118 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $132 | $157 | $170 |
| EMG needle each extremity complete CPT 95886 • Neurology | $45 | $54 | $64 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $47 | $74 | $123 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $51 | $86 | $113 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $140 | $164 | $188 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $71 | $87 | $104 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $146 | $147 | $148 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $30 | $87 | $124 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $82 | $145 | $176 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $16 | $172 | $268 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $18 | $217 | $337 |
| Office visit established patient minimal CPT 99211 • Office Visits | $7 | $20 | $37 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $38 | $58 | $73 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $57 | $81 | $121 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $44 | $109 | $154 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $12 | $120 | $238 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $12 | $45 | $78 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $16 | $107 | $197 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $155 | $156 | $158 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $56 | $63 | $69 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $57 | $80 | $104 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $8 | $79 | $150 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $44 | $50 | $56 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $13 | $47 | $82 |
| Consultation office low complexity CPT 99243 • Office Visits | $61 | $78 | $94 |
| Consultation office high complexity CPT 99245 • Office Visits | $72 | $174 | $277 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $498 | $604 | $710 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $33 | $40 | $48 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,000 | $1,267 | $1,534 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $159 | $193 | $228 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $267 | $552 | $837 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $466 | $557 | $649 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $261 | $324 | $386 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $44 | $309 | $574 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $662 | $685 | $708 |