| Psychotherapy 45 minutes CPT 90834 • Mental Health | $85 | $107 | $130 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $71 | $98 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $125 | $141 | $157 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $115 | $121 | $127 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $172 | $175 | $178 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $76 | $87 | $96 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $82 | $116 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $98 | $123 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $28 | $29 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $47 | $132 | $216 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $114 | $172 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $130 | $140 | $157 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $178 | $315 | $400 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $116 | $326 | $536 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $33 | $92 | $132 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $30 | $95 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $89 | $101 | $113 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $45 | $53 | $61 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $51 | $80 | $112 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $81 | $124 | $158 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $175 | $190 | $206 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $193 | $231 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $56 | $75 | $84 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $83 | $106 | $122 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $127 | $164 | $187 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $160 | $211 | $235 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $22 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $20 | $43 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $54 | $76 | $88 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $61 | $118 | $147 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $88 | $146 | $167 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $91 | $115 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $110 | $147 | $162 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $30 | $178 | $236 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $43 | $48 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $59 | $82 | $96 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $84 | $117 | $137 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $70 | $89 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $87 | $119 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $116 | $180 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $211 | $298 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $561 | $648 | $735 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $26 | $50 | $73 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,271 | $1,668 | $2,064 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $358 | $359 | $359 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $675 | $1,189 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $668 | $890 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $276 | $342 | $409 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,094 | $1,199 | $1,303 |