| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $107 | $121 | $148 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $121 | $148 | $204 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $125 | $162 | $195 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $200 | $212 | $237 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $96 | $98 | $102 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $116 | $133 | $166 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $121 | $151 | $171 |
| Group psychotherapy CPT 90853 • Mental Health | $42 | $43 | $45 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $5 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $60 | $110 | $173 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $86 | $147 | $209 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $126 | $141 | $169 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $95 | $218 | $372 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $96 | $244 | $425 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $62 | $91 | $124 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $137 | $161 | $174 |
| EMG needle each extremity complete CPT 95886 • Neurology | $44 | $74 | $91 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $96 | $117 | $159 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $62 | $130 | $203 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $77 | $88 | $109 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $103 | $206 | $319 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $292 | $299 | $313 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $11 | $69 | $113 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $160 | $165 | $174 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $168 | $191 | $208 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $228 | $253 | $272 |
| Office visit established patient minimal CPT 99211 • Office Visits | $33 | $35 | $38 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $51 | $64 | $74 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $33 | $88 | $121 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $33 | $71 | $127 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $16 | $137 | $214 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $33 | $112 | $164 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $33 | $151 | $222 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $33 | $184 | $325 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $51 | $63 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $33 | $78 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $123 | $139 | $168 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $101 | $109 | $118 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $16 | $114 | $173 |
| Consultation office low complexity CPT 99243 • Office Visits | $33 | $118 | $200 |
| Consultation office high complexity CPT 99245 • Office Visits | $18 | $218 | $326 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $234 | $499 | $795 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $52 | $61 | $69 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $885 | $1,452 | $2,019 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $297 | $360 | $424 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $121 | $1,067 | $1,873 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $484 | $664 | $864 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $166 | $285 | $404 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $595 | $938 | $1,281 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $64 | $499 | $934 |