| Psychotherapy 45 minutes CPT 90834 • Mental Health | $89 | $109 | $129 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $82 | $101 | $115 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $125 | $156 | $184 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $109 | $131 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $140 | $168 | $178 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $63 | $75 | $86 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $108 | $117 | $133 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $112 | $133 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $27 | $46 | $69 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $47 | $109 | $143 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $76 | $113 | $132 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $127 | $131 | $133 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $56 | $256 | $347 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $350 | $416 | $456 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $63 | $92 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $85 | $132 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $92 | $100 | $113 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $53 | $73 | $89 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $67 | $95 | $112 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $78 | $106 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $175 | $186 | $206 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $103 | $242 | $296 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $74 | $76 | $84 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $96 | $106 | $112 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $126 | $140 | $163 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $161 | $189 | $216 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $17 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $44 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $72 | $81 | $88 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $106 | $125 | $147 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $142 | $165 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $97 | $125 | $152 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $134 | $148 | $154 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $191 | $205 | $212 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $77 | $115 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $71 | $96 | $115 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $99 | $108 | $115 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $69 | $93 | $115 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $102 | $119 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $110 | $157 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $201 | $273 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $595 | $633 | $735 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $26 | $36 | $42 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $737 | $1,009 | $1,161 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $203 | $227 | $241 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,047 | $1,199 | $1,630 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $593 | $890 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $235 | $271 | $291 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $715 | $829 | $1,108 |