| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $83 | $108 | $138 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $121 | $137 | $160 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $135 | $200 | $308 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $126 | $140 | $167 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $48 | $66 | $81 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $82 | $98 | $112 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $85 | $116 | $132 |
| Group psychotherapy CPT 90853 • Mental Health | $49 | $60 | $66 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $3 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $9 | $135 | $212 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $42 | $179 | $378 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $134 | $205 | $331 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $323 | $332 | $350 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $50 | $544 | $1,211 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $63 | $167 | $331 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $79 | $122 | $151 |
| EMG needle each extremity complete CPT 95886 • Neurology | $37 | $65 | $80 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $38 | $55 | $83 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $21 | $56 | $103 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $25 | $159 | $396 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $34 | $241 | $521 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $97 | $392 | $821 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $37 | $106 | $188 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $6 | $133 | $265 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $42 | $69 | $124 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $42 | $88 | $166 |
| Office visit established patient minimal CPT 99211 • Office Visits | $5 | $18 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $42 | $51 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $20 | $98 | $184 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $42 | $127 | $265 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $40 | $161 | $269 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $8 | $69 | $148 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $51 | $183 | $335 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $151 | $292 | $487 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $15 | $75 | $115 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $5 | $56 | $115 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $123 | $165 | $249 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $115 | $136 | $176 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $73 | $93 | $126 |
| Consultation office low complexity CPT 99243 • Office Visits | $42 | $77 | $111 |
| Consultation office high complexity CPT 99245 • Office Visits | $83 | $158 | $269 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $286 | $386 | $512 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $31 | $49 | $81 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $886 | $1,145 | $1,404 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $143 | $402 | $660 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $867 | $1,646 | $2,915 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $402 | $566 | $763 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $35 | $86 | $181 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $42 | $303 | $564 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $42 | $675 | $1,452 |