| Psychotherapy 60 minutes CPT 90837 • Mental Health | $218 | $261 | $304 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $138 | $163 | $189 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $150 | $189 | $227 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $82 | $96 | $109 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $130 | $153 | $176 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $157 | $170 | $182 |
| Group psychotherapy CPT 90853 • Mental Health | $44 | $45 | $46 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $7 | $9 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $240 | $1,545 | $2,712 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $158 | $970 | $1,663 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $158 | $1,074 | $1,663 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $490 | $559 | $616 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $442 | $620 | $722 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $84 | $100 | $117 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $144 | $157 | $170 |
| EMG needle each extremity complete CPT 95886 • Neurology | $77 | $107 | $136 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $68 | $78 | $89 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $65 | $78 | $90 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $108 | $151 | $194 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $139 | $196 | $254 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $181 | $299 | $417 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $60 | $91 | $123 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $166 | $170 | $174 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $199 | $232 | $264 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $237 | $284 | $332 |
| Office visit established patient minimal CPT 99211 • Office Visits | $27 | $32 | $37 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $41 | $49 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $81 | $116 | $148 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $175 | $183 | $191 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $234 | $251 | $268 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $118 | $141 | $163 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $161 | $191 | $221 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $237 | $282 | $326 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $47 | $55 | $63 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $86 | $102 | $117 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $123 | $145 | $168 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $84 | $101 | $118 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $124 | $148 | $173 |
| Consultation office low complexity CPT 99243 • Office Visits | $167 | $182 | $197 |
| Consultation office high complexity CPT 99245 • Office Visits | $282 | $321 | $360 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $910 | $2,669 | $5,358 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $91 | $1,010 | $1,663 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,663 | $4,093 | $8,618 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $367 | $1,429 | $2,712 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,282 | $2,840 | $6,142 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $928 | $2,582 | $6,142 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $442 | $1,578 | $2,712 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,200 | $2,977 | $6,142 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $964 | $2,690 | $6,142 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $154 | $962 | $1,663 |