| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $64 | $74 | $83 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $99 | $120 | $139 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $91 | $111 | $133 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $118 | $132 | $147 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $46 | $53 | $62 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $77 | $86 | $102 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $77 | $103 | $128 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $29 | $31 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $8 | $81 | $154 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $111 | $119 | $127 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $11 | $66 | $121 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $50 | $197 | $343 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $335 | $359 | $379 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $50 | $58 | $66 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $32 | $98 | $165 |
| EMG needle each extremity complete CPT 95886 • Neurology | $19 | $30 | $42 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $38 | $38 | $39 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $68 | $114 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $56 | $68 | $79 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $106 | $155 | $204 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $288 | $299 | $310 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $49 | $62 | $71 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $82 | $112 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $50 | $116 | $155 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $111 | $200 |
| Office visit established patient minimal CPT 99211 • Office Visits | $1 | $14 | $21 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $16 | $37 | $52 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $55 | $91 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $7 | $63 | $99 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $90 | $165 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $12 | $58 | $99 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $113 | $120 | $134 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $158 | $172 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $39 | $61 | $98 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $29 | $56 | $71 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $98 | $103 | $110 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $71 | $87 | $116 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $12 | $87 | $143 |
| Consultation office low complexity CPT 99243 • Office Visits | $11 | $65 | $119 |
| Consultation office high complexity CPT 99245 • Office Visits | $125 | $171 | $218 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $90 | $478 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $38 | $52 | $66 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $772 | $962 | $1,153 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $65 | $232 | $368 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $939 | $1,044 | $1,149 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $48 | $335 | $622 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $202 | $242 | $296 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $116 | $517 | $773 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $323 | $445 | $621 |