| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $100 | $168 | $281 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $35 | $72 | $129 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $34 | $117 | $401 |
| Interactive complexity add-on CPT 90785 • Mental Health | $5 | $13 | $20 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $133 | $167 | $192 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $137 | $192 | $212 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $56 | $76 | $92 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $47 | $76 | $94 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $80 | $102 | $125 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $77 | $127 | $191 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $126 | $146 | $169 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $123 | $167 | $228 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $143 | $204 | $305 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $73 | $86 | $93 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $104 | $123 | $147 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $108 | $132 | $153 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $39 | $52 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $6 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $89 | $922 | $2,788 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $123 | $372 | $917 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $106 | $353 | $917 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $78 | $346 | $479 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $78 | $385 | $546 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $79 | $125 | $168 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $92 | $145 | $236 |
| EMG needle each extremity complete CPT 95886 • Neurology | $37 | $86 | $125 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $37 | $88 | $134 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $41 | $96 | $171 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $109 | $147 | $203 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $153 | $215 | $270 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $102 | $253 | $409 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $86 | $107 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $80 | $121 | $156 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $105 | $191 | $238 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $144 | $236 | $300 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $26 | $36 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $29 | $53 | $68 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $93 | $126 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $124 | $155 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $102 | $162 | $210 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $74 | $144 | $218 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $164 | $202 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $163 | $241 | $299 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $50 | $57 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $99 | $154 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $142 | $222 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $70 | $102 | $156 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $106 | $137 | $157 |
| Consultation office straightforward CPT 99241 • Office Visits | $42 | $42 | $42 |
| Consultation office low complexity CPT 99243 • Office Visits | $51 | $132 | $180 |