| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $52 | $62 | $73 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $88 | $106 | $124 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $75 | $113 | $150 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $82 | $117 | $152 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $44 | $54 | $64 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $63 | $76 | $88 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $66 | $96 | $126 |
| Group psychotherapy CPT 90853 • Mental Health | $26 | $36 | $46 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $138 | $138 | $138 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $133 | $144 | $155 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $77 | $77 | $77 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $246 | $246 | $246 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $37 | $37 | $37 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $66 | $73 | $80 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $114 | $154 | $174 |
| EMG needle each extremity complete CPT 95886 • Neurology | $95 | $95 | $95 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $41 | $41 | $41 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $37 | $79 | $120 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $83 | $90 | $96 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $187 | $187 | $187 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $122 | $122 | $122 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $33 | $33 | $33 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $104 | $104 | $104 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $104 | $175 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $135 | $183 | $219 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $6 | $6 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $30 | $30 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $73 | $73 | $73 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $100 | $114 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $95 | $95 | $95 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $99 | $99 | $99 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $89 | $89 | $89 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $130 | $138 | $145 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $38 | $38 | $38 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $70 | $70 | $70 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $100 | $100 | $100 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $70 | $70 | $70 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $69 | $73 | $77 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $82 | $137 |
| Consultation office high complexity CPT 99245 • Office Visits | $29 | $124 | $218 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $603 | $603 | $603 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $32 | $32 | $32 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $810 | $810 | $810 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $241 | $241 | $241 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,066 | $1,066 | $1,066 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $60 | $276 | $491 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $294 | $294 | $294 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $729 | $729 | $729 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $203 | $376 |