| Psychotherapy 45 minutes CPT 90834 • Mental Health | $57 | $88 | $104 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $50 | $79 | $118 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $76 | $116 | $144 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $66 | $108 | $140 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $89 | $124 | $153 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $38 | $58 | $73 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $62 | $89 | $108 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $64 | $95 | $115 |
| Group psychotherapy CPT 90853 • Mental Health | $15 | $30 | $48 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $86 | $178 | $364 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $73 | $174 | $388 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $83 | $160 | $266 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $36 | $188 | $357 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $52 | $282 | $733 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $32 | $79 | $115 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $37 | $98 | $188 |
| EMG needle each extremity complete CPT 95886 • Neurology | $31 | $69 | $99 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $25 | $66 | $107 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $41 | $84 | $132 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $39 | $102 | $158 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $51 | $132 | $207 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $70 | $239 | $341 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $31 | $63 | $74 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $46 | $98 | $121 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $79 | $144 | $186 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $104 | $202 | $350 |
| Office visit established patient minimal CPT 99211 • Office Visits | $12 | $20 | $29 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $28 | $44 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $46 | $69 | $94 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $48 | $90 | $122 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $89 | $157 | $350 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $62 | $175 | $320 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $84 | $210 | $432 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $124 | $302 | $634 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $24 | $62 | $124 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $44 | $124 | $226 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $64 | $181 | $325 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $45 | $126 | $227 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $65 | $157 | $336 |
| Consultation office low complexity CPT 99243 • Office Visits | $76 | $128 | $161 |
| Consultation office high complexity CPT 99245 • Office Visits | $118 | $246 | $379 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $378 | $579 | $801 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $23 | $62 | $98 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $724 | $1,293 | $1,758 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $134 | $289 | $424 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $670 | $1,218 | $1,658 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $308 | $746 | $1,430 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $145 | $348 | $572 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $459 | $881 | $1,518 |