| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $154 | $165 | $176 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $30 | $57 | $81 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $49 | $78 | $93 |
| Interactive complexity add-on CPT 90785 • Mental Health | $6 | $12 | $14 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $130 | $156 | $191 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $144 | $175 | $191 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $63 | $74 | $93 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $64 | $74 | $102 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $79 | $97 | $130 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $82 | $95 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $102 | $122 | $138 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $108 | $109 | $109 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $131 | $132 | $132 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $63 | $72 | $81 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $90 | $113 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $94 | $111 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $39 | $66 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $122 | $133 | $154 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $95 | $127 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $121 | $128 | $134 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $57 | $286 | $367 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $57 | $297 | $417 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $51 | $93 | $108 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $81 | $137 | $165 |
| EMG needle each extremity complete CPT 95886 • Neurology | $46 | $78 | $94 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $39 | $65 | $87 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $106 | $109 | $114 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $60 | $108 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $106 | $156 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $280 | $283 | $288 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $60 | $66 | $72 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $94 | $97 | $104 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $14 | $111 | $163 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $165 | $182 | $191 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $22 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $42 | $48 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $63 | $76 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $11 | $83 | $111 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $140 | $148 | $152 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $68 | $99 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $119 | $134 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $96 | $149 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $39 | $42 | $43 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $59 | $71 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $84 | $103 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $60 | $71 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $98 | $108 | $130 |
| Consultation office straightforward CPT 99241 • Office Visits | $32 | $32 | $32 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $94 | $145 |