| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $103 | $104 | $105 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $35 | $88 | $143 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $98 | $105 | $109 |
| Interactive complexity add-on CPT 90785 • Mental Health | $6 | $9 | $17 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $156 | $199 | $227 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $165 | $187 | $227 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $81 | $89 | $110 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $55 | $63 | $85 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $98 | $116 | $154 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $90 | $95 | $107 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $157 | $160 | $162 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $127 | $142 | $149 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $178 | $200 | $221 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $76 | $95 | $115 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $106 | $110 | $115 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $121 | $128 | $136 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $33 | $37 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $6 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $47 | $114 | $181 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $141 | $167 | $192 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $130 | $140 | $151 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $67 | $301 | $436 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $256 | $396 | $536 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $61 | $97 | $132 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $51 | $73 | $94 |
| EMG needle each extremity complete CPT 95886 • Neurology | $63 | $102 | $116 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $61 | $95 | $126 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $76 | $121 | $155 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $80 | $133 | $186 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $206 | $229 | $245 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $152 | $302 | $403 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $77 | $83 | $85 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $83 | $99 | $123 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $141 | $167 | $195 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $201 | $225 | $257 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $23 | $36 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $28 | $47 | $68 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $75 | $81 | $89 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $112 | $127 | $147 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $151 | $164 | $168 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $109 | $134 | $203 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $148 | $159 | $167 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $218 | $233 | $246 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $44 | $47 | $51 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $79 | $99 | $154 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $113 | $129 | $154 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $78 | $99 | $154 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $114 | $130 | $154 |
| Consultation office straightforward CPT 99241 • Office Visits | $38 | $38 | $38 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $136 | $203 |