| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $200 | $293 | $398 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $90 | $130 | $178 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $75 | $111 | $182 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $84 | $161 | $222 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $96 | $141 | $231 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $148 | $224 | $363 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $127 | $142 | $162 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $143 | $224 | $369 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $70 | $108 | $177 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $117 | $179 | $243 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $138 | $204 | $288 |
| Group psychotherapy CPT 90853 • Mental Health | $37 | $55 | $80 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $6 | $9 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $53 | $121 | $283 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $92 | $236 | $448 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $183 | $294 | $451 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $56 | $300 | $514 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $163 | $357 | $592 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $70 | $110 | $148 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $24 | $99 | $210 |
| EMG needle each extremity complete CPT 95886 • Neurology | $51 | $87 | $126 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $108 | $114 | $123 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $147 | $223 | $302 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $124 | $161 | $182 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $209 | $245 | $301 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $297 | $457 | $759 |
| EEG monitoring continuous 24 hours CPT 95950 • Neurology | $854 | $854 | $854 |
| EEG monitoring continuous 24 hours with video CPT 95951 • Neurology | $5,680 | $5,680 | $5,680 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $143 | $215 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $49 | $171 | $311 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $49 | $226 | $403 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $49 | $200 | $409 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $40 | $50 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $41 | $74 | $108 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $49 | $78 | $136 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $49 | $154 | $309 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $49 | $220 | $413 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $158 | $285 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $49 | $144 | $277 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $49 | $273 | $485 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $32 | $50 | $81 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $49 | $77 | $130 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $139 | $187 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $78 | $127 | $174 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $106 | $205 | $303 |
| Consultation office straightforward CPT 99241 • Office Visits | $120 | $120 | $120 |
| Consultation office low complexity CPT 99243 • Office Visits | $121 | $208 | $311 |
| Consultation office high complexity CPT 99245 • Office Visits | $185 | $337 | $544 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $614 | $940 | $1,412 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $34 | $49 | $68 |