| Interactive complexity add-on CPT 90785 • Mental Health | $6 | $14 | $21 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $146 | $201 | $256 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $164 | $244 | $315 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $61 | $94 | $122 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $41 | $84 | $111 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $85 | $131 | $162 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $87 | $101 | $115 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $105 | $179 | $239 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $113 | $156 | $187 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $132 | $157 | $183 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $72 | $87 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $126 | $133 | $141 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $94 | $120 | $146 |
| Group psychotherapy CPT 90853 • Mental Health | $34 | $36 | $39 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $7 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $186 | $206 | $226 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $165 | $199 | $221 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $117 | $154 | $191 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $103 | $314 | $524 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $94 | $361 | $627 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $97 | $132 | $167 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $37 | $81 | $125 |
| EMG needle each extremity complete CPT 95886 • Neurology | $59 | $99 | $158 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $50 | $92 | $134 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $95 | $136 | $187 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $57 | $130 | $202 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $115 | $134 | $153 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $179 | $224 | $269 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $58 | $80 | $113 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $119 | $142 | $174 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $125 | $193 | $261 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $262 | $294 | $345 |
| Office visit established patient minimal CPT 99211 • Office Visits | $29 | $32 | $35 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $51 | $63 | $87 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $95 | $142 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $74 | $139 | $202 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $110 | $199 | $256 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $142 | $151 | $157 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $111 | $171 | $211 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $152 | $249 | $311 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $50 | $67 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $81 | $111 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $114 | $166 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $65 | $93 | $112 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $149 | $161 | $168 |
| Consultation office low complexity CPT 99243 • Office Visits | $111 | $156 | $187 |
| Consultation office high complexity CPT 99245 • Office Visits | $207 | $273 | $343 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $550 | $762 | $962 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $56 | $98 | $176 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $954 | $1,472 | $1,817 |