| Psychotherapy 60 minutes CPT 90837 • Mental Health | $117 | $145 | $222 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $92 | $107 | $117 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $96 | $140 | $165 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $46 | $59 | $70 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $121 | $156 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $90 | $101 |
| Group psychotherapy CPT 90853 • Mental Health | $22 | $23 | $24 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $65 | $126 | $151 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $41 | $105 | $142 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $112 | $119 | $131 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $56 | $221 | $303 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $51 | $122 | $379 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $90 | $99 | $117 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $75 | $97 | $130 |
| EMG needle each extremity complete CPT 95886 • Neurology | $84 | $95 | $118 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $53 | $53 | $53 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $112 | $114 | $118 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $62 | $86 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $80 | $144 | $176 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $288 | $290 | $295 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $73 | $94 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $73 | $113 | $142 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $96 | $160 | $205 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $131 | $218 | $266 |
| Office visit established patient minimal CPT 99211 • Office Visits | $22 | $25 | $27 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $43 | $54 | $66 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $65 | $79 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $70 | $112 | $150 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $141 | $193 | $234 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $113 | $159 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $121 | $148 | $170 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $137 | $200 | $225 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $38 | $59 | $75 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $70 | $79 | $103 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $88 | $114 | $153 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $71 | $75 | $77 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $100 | $114 | $147 |
| Consultation office low complexity CPT 99243 • Office Visits | $41 | $67 | $120 |
| Consultation office high complexity CPT 99245 • Office Visits | $41 | $169 | $248 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $41 | $426 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $41 | $42 | $45 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $992 | $1,044 | $1,147 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $41 | $162 | $245 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $41 | $381 | $1,061 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $488 | $488 | $488 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $41 | $234 | $296 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $41 | $618 | $913 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $41 | $388 | $659 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $41 | $92 | $171 |