| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $153 | $201 | $238 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $238 | $288 | $399 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $102 | $196 | $277 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $122 | $252 | $336 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $54 | $135 | $190 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $82 | $176 | $261 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $97 | $166 | $257 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $31 | $54 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $7 | $13 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $12 | $126 | $259 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $34 | $385 | $889 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $18 | $202 | $390 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $291 | $706 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $80 | $491 | $826 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $53 | $146 | $296 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $26 | $170 | $320 |
| EMG needle each extremity complete CPT 95886 • Neurology | $97 | $112 | $131 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $104 | $129 | $177 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $123 | $167 | $250 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $31 | $115 | $172 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $93 | $206 | $267 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $213 | $301 | $412 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $113 | $156 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $42 | $122 | $220 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $223 | $294 | $382 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $80 | $279 | $412 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $18 | $31 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $10 | $40 | $84 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $4 | $59 | $101 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $8 | $151 | $240 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $11 | $151 | $298 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $59 | $119 | $200 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $16 | $147 | $275 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $158 | $317 | $401 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $3 | $40 | $78 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $58 | $96 | $143 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $71 | $126 | $205 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $58 | $108 | $143 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $9 | $113 | $215 |
| Consultation office low complexity CPT 99243 • Office Visits | $167 | $199 | $224 |
| Consultation office high complexity CPT 99245 • Office Visits | $203 | $324 | $404 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $251 | $810 | $1,678 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $65 | $71 | $75 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $2,182 | $2,303 | $2,423 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $63 | $377 | $556 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $164 | $1,736 | $3,954 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $582 | $737 | $1,048 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $442 | $465 | $488 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,384 | $2,023 | $2,661 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $729 | $1,339 | $2,135 |