| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $87 | $91 | $98 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $134 | $158 | $184 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $109 | $125 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $140 | $164 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $67 | $78 | $95 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $108 | $136 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $112 | $125 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $27 | $50 | $66 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $3 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $46 | $104 | $143 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $80 | $129 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $106 | $115 | $133 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $310 | $341 | $367 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $56 | $181 | $429 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $22 | $83 | $117 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $81 | $108 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $46 | $65 | $98 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $52 | $53 | $53 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $53 | $73 | $111 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $55 | $92 | $144 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $71 | $94 | $107 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $184 | $255 | $296 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $47 | $50 | $53 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $55 | $89 | $109 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $132 | $151 | $162 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $115 | $201 |
| Office visit established patient minimal CPT 99211 • Office Visits | $3 | $11 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $40 | $43 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $48 | $65 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $46 | $77 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $88 | $124 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $49 | $106 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $13 | $93 | $134 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $96 | $164 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $6 | $58 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $71 | $110 | $130 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $10 | $70 | $102 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $77 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $101 | $103 | $105 |
| Consultation office low complexity CPT 99243 • Office Visits | $94 | $132 | $171 |
| Consultation office high complexity CPT 99245 • Office Visits | $21 | $141 | $213 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $373 | $502 | $601 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $18 | $36 | $55 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $848 | $1,046 | $1,161 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $138 | $189 | $241 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $716 | $1,070 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $362 | $491 | $628 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $23 | $157 | $291 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $30 | $404 | $778 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $104 | $365 | $625 |