| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $69 | $82 | $90 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $133 | $164 | $222 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $113 | $115 | $117 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $140 | $150 | $165 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $67 | $73 | $83 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $103 | $117 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $102 | $130 |
| Group psychotherapy CPT 90853 • Mental Health | $18 | $25 | $31 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $64 | $100 | $136 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $125 | $128 | $131 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $18 | $63 | $108 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $137 | $217 | $297 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $49 | $282 | $419 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $39 | $52 | $65 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $121 | $144 | $167 |
| EMG needle each extremity complete CPT 95886 • Neurology | $41 | $45 | $49 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $44 | $48 | $53 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $66 | $87 | $108 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $79 | $104 | $129 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $34 | $70 | $106 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $56 | $120 | $185 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $66 | $78 | $94 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $73 | $103 | $131 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $144 | $169 | $196 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $154 | $183 | $216 |
| Office visit established patient minimal CPT 99211 • Office Visits | $7 | $20 | $27 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $44 | $57 | $66 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $56 | $69 | $79 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $41 | $77 | $119 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $108 | $140 | $211 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $41 | $68 | $99 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $108 | $121 | $133 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $16 | $121 | $196 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $3 | $27 | $39 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $57 | $76 | $102 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $93 | $102 | $111 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $41 | $62 | $75 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $103 | $107 | $114 |
| Consultation office low complexity CPT 99243 • Office Visits | $10 | $52 | $94 |
| Consultation office high complexity CPT 99245 • Office Visits | $41 | $114 | $187 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $41 | $444 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $8 | $26 | $45 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $627 | $887 | $1,147 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $41 | $175 | $245 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $41 | $551 | $1,061 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $365 | $426 | $488 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $41 | $209 | $296 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $410 | $600 | $727 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $355 | $433 | $530 |