| Psychotherapy 60 minutes CPT 90837 • Mental Health | $369 | $473 | $576 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $355 | $401 | $447 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $432 | $484 | $537 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $186 | $237 | $288 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $299 | $357 | $415 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $353 | $393 | $433 |
| Group psychotherapy CPT 90853 • Mental Health | $101 | $101 | $102 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $20 | $21 | $23 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $528 | $541 | $554 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $513 | $529 | $538 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $526 | $539 | $552 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $1,248 | $1,434 | $1,620 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $1,485 | $1,707 | $1,928 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $304 | $372 | $406 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $290 | $540 | $752 |
| EMG needle each extremity complete CPT 95886 • Neurology | $228 | $277 | $326 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $186 | $254 | $321 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $286 | $366 | $406 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $342 | $414 | $487 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $372 | $886 | $1,400 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $800 | $1,576 | $2,352 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $189 | $190 | $191 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $269 | $277 | $284 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $299 | $343 | $409 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $401 | $478 | $516 |
| Office visit established patient minimal CPT 99211 • Office Visits | $55 | $58 | $61 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $109 | $113 | $116 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $178 | $184 | $189 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $18 | $152 | $257 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $256 | $339 | $423 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $252 | $252 | $252 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $338 | $338 | $339 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $494 | $494 | $495 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $96 | $96 | $96 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $176 | $176 | $176 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $253 | $254 | $254 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $179 | $179 | $179 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $261 | $261 | $262 |
| Consultation office low complexity CPT 99243 • Office Visits | $238 | $316 | $355 |
| Consultation office high complexity CPT 99245 • Office Visits | $557 | $615 | $645 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,504 | $1,740 | $1,976 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $121 | $149 | $176 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $3,131 | $3,841 | $4,551 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $659 | $729 | $799 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $2,909 | $3,568 | $4,228 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $1,344 | $1,750 | $1,953 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $805 | $859 | $914 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,988 | $2,439 | $2,889 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,449 | $1,777 | $2,106 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $261 | $320 | $380 |