| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $69 | $103 | $119 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $96 | $119 | $150 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $91 | $122 | $137 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $100 | $137 | $178 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $70 | $89 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $84 | $87 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $80 | $107 | $121 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $39 | $52 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $2 | $3 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $92 | $100 | $107 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $78 | $103 | $129 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $64 | $84 | $103 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $200 | $217 | $234 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $286 | $378 | $469 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $24 | $32 | $40 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $34 | $90 | $170 |
| EMG needle each extremity complete CPT 95886 • Neurology | $21 | $48 | $74 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $42 | $47 | $52 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $41 | $53 | $66 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $62 | $101 | $140 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $78 | $81 | $83 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $59 | $73 | $87 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $39 | $61 | $82 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $33 | $58 | $82 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $20 | $76 | $108 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $44 | $127 | $179 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $22 | $25 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $39 | $43 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $11 | $25 | $39 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $44 | $70 | $105 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $74 | $80 | $85 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $12 | $45 | $78 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $105 | $127 | $149 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $155 | $170 | $185 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $15 | $23 | $30 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $55 | $74 | $92 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $80 | $81 | $82 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $56 | $76 | $95 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $82 | $90 | $99 |
| Consultation office low complexity CPT 99243 • Office Visits | $74 | $109 | $143 |
| Consultation office high complexity CPT 99245 • Office Visits | $14 | $93 | $172 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $472 | $485 | $498 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $28 | $32 | $36 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $905 | $1,135 | $1,428 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $46 | $161 | $248 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $837 | $1,086 | $1,336 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $93 | $239 | $385 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $144 | $249 | $373 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $44 | $508 | $906 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $418 | $441 | $463 |