| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $147 | $157 | $167 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $55 | $104 | $150 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $68 | $132 | $164 |
| Interactive complexity add-on CPT 90785 • Mental Health | $5 | $6 | $6 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $120 | $166 | $194 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $162 | $166 | $168 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $70 | $81 | $93 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $54 | $86 | $102 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $105 | $115 | $130 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $62 | $83 | $98 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $103 | $124 | $145 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $142 | $144 | $145 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $131 | $172 | $213 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $48 | $79 | $110 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $112 | $140 | $154 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $134 | $171 | $189 |
| Group psychotherapy CPT 90853 • Mental Health | $38 | $45 | $53 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $202 | $234 | $266 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $166 | $218 | $270 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $107 | $126 | $145 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $209 | $292 | $333 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $179 | $245 | $311 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $63 | $90 | $106 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $133 | $139 | $143 |
| EMG needle each extremity complete CPT 95886 • Neurology | $61 | $79 | $98 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $67 | $76 | $85 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $103 | $119 | $147 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $77 | $104 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $71 | $80 | $98 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $285 | $317 | $382 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $75 | $96 | $107 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $111 | $135 | $158 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $124 | $203 | $242 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $200 | $270 | $304 |
| Office visit established patient minimal CPT 99211 • Office Visits | $24 | $31 | $34 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $28 | $51 | $63 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $60 | $89 | $103 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $95 | $136 | $156 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $110 | $161 | $212 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $79 | $126 | $149 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $131 | $170 | $209 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $183 | $264 | $305 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $40 | $51 | $62 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $65 | $96 | $112 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $92 | $138 | $160 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $82 | $104 | $115 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $112 | $148 | $166 |
| Consultation office straightforward CPT 99241 • Office Visits | $40 | $40 | $40 |
| Consultation office low complexity CPT 99243 • Office Visits | $108 | $145 | $211 |