| Psychotherapy 30 minutes CPT 90832 • Mental Health | $97 | $113 | $130 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $67 | $67 | $67 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $94 | $124 | $154 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $86 | $86 | $86 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $259 | $301 | $343 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $125 | $125 | $125 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $152 | $169 | $185 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $184 | $184 | $184 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $103 | $103 | $103 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $210 | $250 | $291 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $25 | $25 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $11 | $16 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $418 | $418 | $418 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $390 | $390 | $390 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $252 | $252 | $252 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $978 | $978 | $978 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $426 | $426 | $426 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $155 | $155 | $155 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $96 | $96 | $96 |
| EMG needle each extremity complete CPT 95886 • Neurology | $136 | $136 | $136 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $43 | $43 | $43 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $188 | $188 | $188 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $64 | $64 | $64 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $80 | $80 | $80 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $622 | $622 | $622 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $67 | $94 | $122 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $114 | $116 | $117 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $191 | $210 | $229 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $252 | $372 | $493 |
| Office visit established patient minimal CPT 99211 • Office Visits | $23 | $37 | $51 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $50 | $73 | $96 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $124 | $149 | $174 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $117 | $126 | $135 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $185 | $196 | $206 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $242 | $242 | $242 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $158 | $198 | $239 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $277 | $382 | $486 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $88 | $121 | $154 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $97 | $131 | $164 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $154 | $195 | $235 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $154 | $165 | $175 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $243 | $243 | $243 |
| Consultation office low complexity CPT 99243 • Office Visits | $274 | $274 | $274 |
| Consultation office high complexity CPT 99245 • Office Visits | $533 | $533 | $533 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $527 | $527 | $527 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $218 | $218 | $218 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,133 | $1,133 | $1,133 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $214 | $214 | $214 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,295 | $1,295 | $1,295 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $552 | $552 | $552 |