| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $90 | $99 | $115 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $105 | $127 | $138 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $105 | $110 | $123 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $124 | $131 | $144 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $62 | $75 | $95 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $91 | $123 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $91 | $109 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $40 | $48 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $135 | $135 | $135 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $86 | $114 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $117 | $124 | $134 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $56 | $171 | $285 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $328 | $356 | $413 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $64 | $88 | $97 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $80 | $131 | $167 |
| EMG needle each extremity complete CPT 95886 • Neurology | $46 | $63 | $72 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $54 | $74 | $90 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $56 | $93 | $118 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $81 | $111 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $35 | $133 | $186 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $189 | $237 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $71 | $72 | $74 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $104 | $106 | $107 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $13 | $95 | $165 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $45 | $115 | $179 |
| Office visit established patient minimal CPT 99211 • Office Visits | $4 | $16 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $39 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $58 | $73 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $10 | $77 | $106 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $110 | $130 | $140 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $106 | $146 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $136 | $143 | $146 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $30 | $150 | $200 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $39 | $56 | $64 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $58 | $71 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $80 | $103 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $58 | $72 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $97 | $107 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $73 | $124 |
| Consultation office high complexity CPT 99245 • Office Visits | $185 | $212 | $255 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $512 | $541 | $599 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $8 | $26 | $36 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $915 | $996 | $1,157 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $30 | $154 | $241 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $699 | $1,067 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $48 | $330 | $489 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $234 | $263 | $291 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $580 | $656 | $733 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $345 | $534 |