| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $70 | $98 | $146 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $116 | $130 | $157 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $106 | $114 | $124 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $128 | $138 | $150 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $47 | $58 | $65 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $74 | $89 | $99 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $78 | $93 | $103 |
| Group psychotherapy CPT 90853 • Mental Health | $20 | $31 | $44 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $61 | $112 | $143 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $14 | $78 | $117 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $80 | $91 | $103 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $54 | $213 | $436 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $213 | $442 | $603 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $54 | $97 | $123 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $50 | $100 | $172 |
| EMG needle each extremity complete CPT 95886 • Neurology | $37 | $61 | $104 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $36 | $58 | $98 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $93 | $104 | $122 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $147 | $191 | $235 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $102 | $162 | $192 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $51 | $199 | $314 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $7 | $65 | $122 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $6 | $59 | $101 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $101 | $182 | $264 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $16 | $94 | $137 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $23 | $37 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $21 | $38 | $51 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $45 | $82 | $120 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $74 | $102 | $116 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $24 | $141 | $234 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $7 | $58 | $95 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $105 | $112 | $115 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $40 | $116 | $154 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $48 | $64 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $55 | $62 | $70 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $42 | $104 | $168 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $40 | $60 | $72 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $100 | $101 | $102 |
| Consultation office low complexity CPT 99243 • Office Visits | $47 | $81 | $115 |
| Consultation office high complexity CPT 99245 • Office Visits | $16 | $121 | $175 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $56 | $471 | $886 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $9 | $30 | $45 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $903 | $1,229 | $1,392 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $242 | $320 | $398 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $905 | $963 | $1,021 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $374 | $422 | $470 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $18 | $175 | $278 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $83 | $554 | $878 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $128 | $550 | $881 |