| Psychotherapy 30 minutes CPT 90832 • Mental Health | $65 | $76 | $93 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $65 | $86 | $102 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $90 | $119 | $130 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $83 | $99 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $131 | $133 | $138 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $87 | $126 | $158 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $126 | $129 | $132 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $61 | $79 | $95 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $82 | $122 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $85 | $119 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $24 | $46 | $77 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $70 | $110 | $184 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $131 | $182 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $132 | $171 | $264 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $280 | $367 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $46 | $165 | $370 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $42 | $87 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $135 | $152 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $46 | $85 | $131 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $43 | $72 | $90 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $98 | $119 | $164 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $65 | $104 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $153 | $189 | $259 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $247 | $301 | $412 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $52 | $76 | $92 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $82 | $119 | $145 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $42 | $138 | $223 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $166 | $210 | $277 |
| Office visit established patient minimal CPT 99211 • Office Visits | $17 | $26 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $42 | $54 | $61 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $71 | $101 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $98 | $144 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $86 | $138 | $195 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $92 | $148 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $80 | $144 | $189 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $107 | $225 | $354 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $76 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $76 | $129 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $94 | $143 |
| 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 | $73 | $120 | $147 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $79 | $167 |
| Consultation office high complexity CPT 99245 • Office Visits | $122 | $238 | $308 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $378 | $445 | $512 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $34 | $57 | $81 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $886 | $1,008 | $1,130 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $221 | $229 | $237 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $676 | $1,155 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $402 | $549 | $763 |