| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $82 | $98 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $126 | $165 | $184 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $108 | $126 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $131 | $161 | $176 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $63 | $81 | $96 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $102 | $138 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $105 | $139 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $53 | $77 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $30 | $46 | $77 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $58 | $114 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $106 | $126 | $134 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $310 | $332 | $367 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $392 | $417 | $429 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $51 | $96 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $83 | $141 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $88 | $94 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $89 | $90 | $92 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $111 | $112 | $114 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $78 | $121 | $139 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $80 | $151 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $285 | $286 | $288 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $49 | $65 | $71 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $81 | $109 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $118 | $164 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $143 | $200 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $25 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $29 | $30 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $35 | $50 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $48 | $104 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $109 | $154 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $117 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $131 | $132 | $134 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $198 | $198 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $39 | $86 | $110 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $80 | $110 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $82 | $102 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $80 | $110 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $105 | $114 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $106 | $170 |
| Consultation office high complexity CPT 99245 • Office Visits | $187 | $237 | $255 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $30 | $196 | $528 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $42 | $66 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,130 | $1,141 | $1,153 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $30 | $146 | $263 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $257 | $939 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $517 | $622 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $30 | $158 | $285 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $30 | $506 | $773 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $227 | $621 |