| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $71 | $87 | $115 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $125 | $150 | $184 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $114 | $131 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $172 | $175 | $176 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $71 | $85 | $95 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $82 | $108 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $101 | $128 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $27 | $50 | $77 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $100 | $142 | $184 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $132 | $166 | $220 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $134 | $156 | $178 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $178 | $186 | $193 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $56 | $111 | $167 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $46 | $81 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $74 | $127 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $40 | $47 | $54 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $46 | $71 | $96 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $55 | $73 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $61 | $64 | $67 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $117 | $153 | $188 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $126 | $159 | $193 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $56 | $64 | $70 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $83 | $97 | $109 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $101 | $140 | $164 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $146 | $216 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $24 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $20 | $39 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $54 | $72 | $88 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $82 | $108 | $125 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $111 | $145 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $78 | $125 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $110 | $141 | $170 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $160 | $185 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $81 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $59 | $95 | $129 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $84 | $108 | $129 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $60 | $95 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $87 | $109 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $85 | $124 | $171 |
| Consultation office high complexity CPT 99245 • Office Visits | $169 | $201 | $255 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $561 | $601 | $641 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $54 | $55 | $55 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,130 | $1,196 | $1,271 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $353 | $356 | $358 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,170 | $1,179 | $1,189 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $578 | $631 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $453 | $457 | $460 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,077 | $1,085 | $1,094 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $526 | $782 |