| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $69 | $95 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $123 | $146 | $184 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $92 | $119 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $96 | $148 | $176 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $46 | $75 | $96 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $71 | $120 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $126 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $47 | $77 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $62 | $62 | $62 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $80 | $130 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $129 | $131 | $134 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $290 | $329 | $367 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $58 | $218 | $379 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $111 | $114 | $116 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $84 | $135 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $94 | $94 | $94 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $39 | $64 | $90 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $67 | $90 | $112 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $81 | $107 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $108 | $142 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $108 | $196 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $50 | $66 | $72 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $104 | $109 | $112 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $128 | $156 | $169 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $167 | $205 | $224 |
| Office visit established patient minimal CPT 99211 • Office Visits | $20 | $26 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $51 | $61 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $70 | $88 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $99 | $125 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $142 | $165 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $107 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $121 | $149 | $170 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $151 | $189 | $200 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $39 | $85 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $92 | $129 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $99 | $129 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $86 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $105 | $127 | $143 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $63 | $96 |
| Consultation office high complexity CPT 99245 • Office Visits | $221 | $238 | $255 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $599 | $679 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $36 | $36 | $36 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,130 | $1,139 | $1,157 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $203 | $286 | $368 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $549 | $1,067 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $486 | $489 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $230 | $263 | $296 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $663 | $698 | $733 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $398 | $534 |