| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $149 | $171 | $211 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $120 | $171 | $261 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $165 | $233 | $278 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $298 | $317 | $336 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $143 | $151 | $162 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $105 | $199 | $263 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $105 | $184 | $264 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $42 | $71 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $70 | $79 | $88 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $224 | $248 | $271 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $143 | $204 | $264 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $120 | $161 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $55 | $67 | $80 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $296 | $296 | $296 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $24 | $24 | $24 |
| EMG needle each extremity complete CPT 95886 • Neurology | $117 | $123 | $129 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $99 | $99 | $99 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $48 | $106 | $164 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $112 | $229 | $345 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $105 | $182 | $259 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $412 | $444 | $476 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $64 | $83 | $102 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $145 | $177 | $210 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $136 | $179 | $223 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $360 | $381 | $403 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $20 | $31 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $43 | $50 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $99 | $121 | $142 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $60 | $103 | $147 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $194 | $207 | $219 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $69 | $123 | $178 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $114 | $175 | $236 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $159 | $253 | $347 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $68 | $73 | $78 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $124 | $133 | $143 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $140 | $173 | $205 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $85 | $114 | $143 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $125 | $168 | $211 |
| Consultation office low complexity CPT 99243 • Office Visits | $165 | $205 | $244 |
| Consultation office high complexity CPT 99245 • Office Visits | $223 | $262 | $302 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $595 | $595 | $595 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $226 | $226 | $226 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $3,851 | $3,851 | $3,851 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $380 | $380 | $380 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $3,954 | $3,954 | $3,954 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $2,076 | $2,076 | $2,076 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $455 | $455 | $455 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $2,661 | $2,661 | $2,661 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $729 | $1,432 | $2,135 |