| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $59 | $71 | $83 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $127 | $133 | $142 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $109 | $125 | $151 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $133 | $137 | $141 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $64 | $70 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $81 | $93 | $106 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $96 | $102 | $110 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $25 | $26 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $70 | $100 | $129 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $113 | $139 | $181 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $124 | $194 | $264 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $232 | $336 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $54 | $67 | $80 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $110 | $113 | $116 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $77 | $109 | $166 |
| EMG needle each extremity complete CPT 95886 • Neurology | $43 | $86 | $129 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $88 | $88 | $88 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $49 | $110 | $164 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $112 | $128 | $138 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $76 | $168 | $259 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $104 | $258 | $412 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $46 | $67 | $87 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $70 | $107 | $145 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $47 | $127 | $219 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $107 | $177 | $296 |
| Office visit established patient minimal CPT 99211 • Office Visits | $4 | $18 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $28 | $41 | $60 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $69 | $72 | $76 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $9 | $86 | $144 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $134 | $163 | $192 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $94 | $147 | $178 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $126 | $158 | $189 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $132 | $198 | $278 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $36 | $74 | $120 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $66 | $82 | $97 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $95 | $118 | $140 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $67 | $83 | $100 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $87 | $110 | $144 |
| Consultation office low complexity CPT 99243 • Office Visits | $86 | $114 | $168 |
| Consultation office high complexity CPT 99245 • Office Visits | $18 | $177 | $308 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $566 | $566 | $566 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $4 | $23 | $42 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,086 | $1,147 | $1,208 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $227 | $227 | $227 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,005 | $1,005 | $1,005 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $462 | $490 | $518 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $217 | $217 | $217 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $689 | $726 | $763 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $502 | $596 | $729 |