| Psychotherapy 45 minutes CPT 90834 • Mental Health | $84 | $97 | $121 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $77 | $94 | $103 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $126 | $148 | $166 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $117 | $131 | $152 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $141 | $158 | $182 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $64 | $73 | $91 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $104 | $114 | $143 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $108 | $125 | $143 |
| Group psychotherapy CPT 90853 • Mental Health | $26 | $38 | $50 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $83 | $131 | $166 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $140 | $158 | $173 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $122 | $146 | $232 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $144 | $309 | $418 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $62 | $225 | $373 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $53 | $87 | $126 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $89 | $124 | $169 |
| EMG needle each extremity complete CPT 95886 • Neurology | $43 | $80 | $99 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $43 | $84 | $107 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $73 | $108 | $132 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $55 | $114 | $158 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $100 | $169 | $207 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $193 | $282 | $341 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $54 | $69 | $80 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $80 | $104 | $132 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $129 | $169 | $200 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $171 | $203 | $252 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $24 | $45 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $27 | $42 | $56 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $56 | $77 | $92 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $112 | $133 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $114 | $147 | $178 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $124 | $175 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $124 | $150 | $175 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $172 | $214 | $242 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $56 | $83 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $77 | $87 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $113 | $125 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $77 | $82 | $88 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $106 | $118 | $129 |
| Consultation office low complexity CPT 99243 • Office Visits | $94 | $131 | $154 |
| Consultation office high complexity CPT 99245 • Office Visits | $187 | $246 | $273 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $575 | $715 | $1,289 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $31 | $54 | $66 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,091 | $1,355 | $2,335 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $220 | $285 | $345 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,019 | $1,171 | $1,431 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $412 | $529 | $678 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $249 | $344 | $463 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $715 | $948 | $1,477 |