| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $105 | $128 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $143 | $163 | $176 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $70 | $78 | $95 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $96 | $114 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $100 | $126 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $24 | $49 | $77 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $123 | $144 | $192 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $129 | $164 | $210 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $101 | $136 | $178 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $55 | $260 | $367 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $71 | $338 | $429 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $48 | $92 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $37 | $118 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $43 | $51 | $59 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $38 | $48 | $52 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $43 | $115 | $187 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $74 | $93 | $127 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $104 | $126 | $166 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $95 | $199 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $47 | $61 | $83 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $78 | $104 | $121 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $127 | $174 | $261 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $172 | $243 | $345 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $16 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $40 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $65 | $74 | $86 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $64 | $139 | $202 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $163 | $172 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $78 | $133 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $124 | $136 | $159 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $165 | $181 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $47 | $93 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $75 | $111 | $129 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $99 | $109 | $123 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $74 | $102 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $101 | $113 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $107 | $129 | $171 |
| Consultation office high complexity CPT 99245 • Office Visits | $201 | $270 | $379 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $588 | $618 | $681 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $36 | $42 | $57 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,109 | $1,257 | $1,657 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $193 | $266 | $368 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,028 | $1,157 | $1,508 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $476 | $517 | $661 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $222 | $330 | $479 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $700 | $801 | $1,073 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $511 | $614 | $810 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $86 | $137 | $284 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $30 | $1,034 | $1,849 |