| Psychotherapy 60 minutes CPT 90837 • Mental Health | $135 | $162 | $190 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $123 | $143 | $162 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $198 | $198 | $198 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $95 | $95 | $95 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $89 | $121 | $153 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $110 | $134 | $157 |
| Group psychotherapy CPT 90853 • Mental Health | $31 | $35 | $39 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $6 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $184 | $218 | $252 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $146 | $181 | $215 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $134 | $163 | $193 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $193 | $345 | $497 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $56 | $269 | $483 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $76 | $81 | $86 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $113 | $117 | $122 |
| EMG needle each extremity complete CPT 95886 • Neurology | $54 | $61 | $68 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $46 | $91 | $136 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $73 | $86 | $98 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $67 | $92 | $117 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $117 | $137 | $156 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $126 | $202 | $278 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $59 | $82 | $105 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $87 | $99 | $110 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $134 | $185 | $235 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $139 | $217 | $294 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $24 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $21 | $41 | $61 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $57 | $80 | $103 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $86 | $120 | $153 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $117 | $138 | $160 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $82 | $114 | $146 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $115 | $157 | $198 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $169 | $230 | $292 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $35 | $46 | $57 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $62 | $83 | $104 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $89 | $119 | $150 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $63 | $84 | $104 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $92 | $123 | $154 |
| Consultation office low complexity CPT 99243 • Office Visits | $116 | $129 | $141 |
| Consultation office high complexity CPT 99245 • Office Visits | $178 | $228 | $279 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $641 | $769 | $898 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $54 | $71 | $88 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,251 | $1,575 | $1,898 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $353 | $422 | $490 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,170 | $1,560 | $1,949 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $621 | $822 | $1,024 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $453 | $466 | $478 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,077 | $1,194 | $1,312 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $769 | $911 | $1,053 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $165 | $194 | $224 |