| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $111 | $122 | $134 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $71 | $89 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $77 | $88 | $99 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $80 | $92 | $103 |
| Group psychotherapy CPT 90853 • Mental Health | $19 | $32 | $45 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $2 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $44 | $46 | $48 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $13 | $58 | $103 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $85 | $87 | $90 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $56 | $145 | $234 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $45 | $140 | $235 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $52 | $55 | $59 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $34 | $51 | $68 |
| EMG needle each extremity complete CPT 95886 • Neurology | $35 | $44 | $52 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $41 | $42 | $42 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $52 | $84 | $117 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $62 | $101 | $140 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $83 | $94 | $105 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $146 | $221 | $297 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $30 | $44 | $58 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $82 | $90 | $99 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $11 | $55 | $99 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $44 | $101 | $158 |
| Office visit established patient minimal CPT 99211 • Office Visits | $3 | $10 | $18 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $4 | $12 | $20 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $27 | $33 | $39 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $83 | $100 | $118 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $18 | $51 | $85 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $12 | $45 | $78 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $16 | $61 | $105 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $44 | $99 | $155 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $15 | $23 | $30 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $6 | $30 | $55 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $12 | $46 | $80 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $56 | $68 | $81 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $42 | $62 | $82 |
| Consultation office low complexity CPT 99243 • Office Visits | $74 | $109 | $143 |
| Consultation office high complexity CPT 99245 • Office Visits | $143 | $158 | $172 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $374 | $423 | $472 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $24 | $30 | $35 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $905 | $953 | $1,000 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $61 | $125 | $189 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $668 | $753 | $837 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $62 | $224 | $385 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $202 | $216 | $230 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $574 | $627 | $680 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $44 | $231 | $418 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $14 | $46 | $77 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $288 | $603 | $917 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $397 | $515 | $633 |