| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $69 | $74 | $81 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $98 | $141 | $189 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $91 | $101 | $130 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $96 | $117 | $145 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $46 | $55 | $70 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $84 | $103 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $128 | $180 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $27 | $35 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $4 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $48 | $63 | $77 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $91 | $119 | $148 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $85 | $107 | $129 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $64 | $172 | $279 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $164 | $313 | $379 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $58 | $75 | $92 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $30 | $81 | $132 |
| EMG needle each extremity complete CPT 95886 • Neurology | $74 | $88 | $102 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $73 | $91 | $110 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $77 | $85 | $93 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $70 | $91 | $112 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $83 | $87 | $90 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $87 | $110 | $133 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $50 | $65 | $85 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $36 | $73 | $112 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $36 | $142 | $196 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $36 | $138 | $259 |
| Office visit established patient minimal CPT 99211 • Office Visits | $7 | $23 | $36 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $26 | $44 | $66 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $36 | $50 | $79 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $36 | $85 | $150 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $36 | $108 | $168 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $70 | $78 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $105 | $129 | $169 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $151 | $180 | $248 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $37 | $43 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $55 | $73 | $111 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $80 | $103 | $144 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $56 | $70 | $76 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $82 | $98 | $103 |
| Consultation office low complexity CPT 99243 • Office Visits | $94 | $112 | $129 |
| Consultation office high complexity CPT 99245 • Office Visits | $148 | $172 | $196 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $472 | $648 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $45 | $55 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $905 | $1,054 | $1,203 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $189 | $291 | $368 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $837 | $960 | $1,083 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $385 | $483 | $581 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $181 | $300 | $426 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $574 | $736 | $1,046 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $355 | $479 | $789 |