| Interactive complexity add-on CPT 90785 • Mental Health | $14 | $22 | $39 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $142 | $232 | $369 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $153 | $250 | $398 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $70 | $109 | $178 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $72 | $107 | $182 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $84 | $132 | $201 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $91 | $136 | $231 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $140 | $223 | $353 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $120 | $173 | $305 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $139 | $208 | $369 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $69 | $100 | $177 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $115 | $149 | $243 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $120 | $159 | $251 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $47 | $62 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $8 | $16 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $89 | $194 | $405 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $166 | $218 | $361 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $127 | $190 | $303 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $52 | $279 | $518 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $52 | $314 | $596 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $49 | $133 | $223 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $92 | $202 | $323 |
| EMG needle each extremity complete CPT 95886 • Neurology | $43 | $94 | $128 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $51 | $114 | $179 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $61 | $174 | $291 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $72 | $185 | $350 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $164 | $212 | $240 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $96 | $363 | $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 | $109 | $215 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $80 | $155 | $311 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $129 | $233 | $403 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $171 | $288 | $589 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $26 | $50 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $29 | $65 | $108 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $56 | $104 | $179 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $168 | $309 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $114 | $230 | $413 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $146 | $285 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $124 | $197 | $388 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $30 | $207 | $485 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $76 | $130 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $113 | $202 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $143 | $248 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $65 | $111 | $174 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $95 | $157 | $303 |
| Consultation office straightforward CPT 99241 • Office Visits | $120 | $120 | $120 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $165 | $358 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $302 | $643 |