| Interactive complexity add-on CPT 90785 • Mental Health | $5 | $6 | $10 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $112 | $167 | $191 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $116 | $166 | $256 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $60 | $75 | $93 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $39 | $71 | $102 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $68 | $105 | $130 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $65 | $86 | $119 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $106 | $138 | $184 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $92 | $120 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $145 | $163 | $176 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $83 | $96 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $113 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $126 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $18 | $45 | $77 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $123 | $139 | $181 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $121 | $200 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $108 | $130 | $140 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $115 | $253 | $367 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $69 | $308 | $429 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $30 | $81 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $37 | $124 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $38 | $47 | $52 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $47 | $66 | $90 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $48 | $92 | $112 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $74 | $94 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $75 | $116 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $130 | $254 | $286 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $43 | $58 | $74 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $65 | $101 | $112 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $110 | $145 | $164 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $170 | $246 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $20 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $22 | $40 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $62 | $91 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $98 | $160 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $103 | $142 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $100 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $103 | $122 | $131 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $151 | $183 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $34 | $75 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $79 | $129 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $84 | $99 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $84 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $89 | $106 | $130 |
| Consultation office straightforward CPT 99241 • Office Visits | $30 | $30 | $30 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $93 | $138 |
| Consultation office high complexity CPT 99245 • Office Visits | $203 | $228 | $255 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $565 | $635 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $37 | $47 | $70 |