| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $105 | $141 | $170 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $50 | $81 | $143 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $70 | $87 | $109 |
| Interactive complexity add-on CPT 90785 • Mental Health | $8 | $19 | $40 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $106 | $172 | $219 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $133 | $233 | $519 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $52 | $105 | $201 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $43 | $88 | $123 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $78 | $115 | $156 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $71 | $89 | $107 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $123 | $163 | $222 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $92 | $160 | $308 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $145 | $160 | $178 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $46 | $69 | $89 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $89 | $115 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $134 | $265 |
| Group psychotherapy CPT 90853 • Mental Health | $22 | $25 | $28 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $47 | $73 | $100 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $76 | $144 | $220 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $130 | $204 | $279 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $56 | $281 | $641 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $147 | $340 | $456 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $46 | $75 | $116 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $94 | $121 | $166 |
| EMG needle each extremity complete CPT 95886 • Neurology | $40 | $97 | $137 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $61 | $79 | $96 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $51 | $81 | $114 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $78 | $148 | $224 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $206 | $318 | $457 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $103 | $423 | $747 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $56 | $70 | $84 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $61 | $101 | $135 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $127 | $163 | $196 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $131 | $186 | $216 |
| Office visit established patient minimal CPT 99211 • Office Visits | $7 | $12 | $23 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $42 | $62 | $109 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $86 | $128 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $70 | $111 | $147 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $103 | $144 | $168 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $87 | $107 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $110 | $138 | $169 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $148 | $180 | $248 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $44 | $64 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $59 | $80 | $111 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $84 | $120 | $154 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $60 | $69 | $75 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $87 | $108 | $149 |
| Consultation office straightforward CPT 99241 • Office Visits | $29 | $29 | $29 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $76 | $116 |