| Psychotherapy 45 minutes CPT 90834 • Mental Health | $84 | $107 | $130 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $77 | $93 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $126 | $146 | $184 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $108 | $129 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $143 | $174 | $195 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $70 | $90 | $101 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $89 | $121 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $113 | $130 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $44 | $77 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $62 | $116 | $157 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $121 | $168 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $106 | $132 | $155 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $52 | $252 | $418 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $52 | $282 | $491 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $36 | $91 | $123 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $38 | $126 | $178 |
| EMG needle each extremity complete CPT 95886 • Neurology | $46 | $69 | $108 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $36 | $65 | $107 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $45 | $92 | $132 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $65 | $118 | $163 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $69 | $161 | $214 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $96 | $246 | $341 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $39 | $56 | $84 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $65 | $91 | $120 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $105 | $143 | $182 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $150 | $228 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $17 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $23 | $36 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $59 | $82 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $79 | $120 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $102 | $144 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $108 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $122 | $141 | $222 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $172 | $205 | $310 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $35 | $69 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $82 | $129 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $97 | $156 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $88 | $140 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $95 | $111 | $148 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $84 | $135 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $183 | $255 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $517 | $574 | $614 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $47 | $61 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,092 | $1,128 | $1,258 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $189 | $274 | $345 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $889 | $1,173 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $476 | $526 | $707 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $138 | $304 | $390 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $435 | $752 | $928 |