| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $67 | $77 | $87 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $111 | $202 | $293 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $118 | $129 | $140 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $144 | $155 | $167 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $47 | $76 | $105 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $96 | $99 | $103 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $124 | $151 | $178 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $30 | $38 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $122 | $150 | $178 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $115 | $204 | $380 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $112 | $140 | $168 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $271 | $272 | $273 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $168 | $238 | $308 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $100 | $110 | $114 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $68 | $126 | $162 |
| EMG needle each extremity complete CPT 95886 • Neurology | $98 | $106 | $114 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $43 | $67 | $91 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $84 | $104 | $114 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $100 | $231 | $362 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $178 | $210 | $242 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $118 | $203 | $289 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $60 | $78 | $97 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $87 | $115 | $144 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $19 | $73 | $107 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $152 | $221 | $290 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $16 | $23 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $46 | $51 | $56 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $75 | $77 | $79 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $96 | $118 | $145 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $153 | $167 | $182 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $85 | $94 | $103 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $116 | $143 | $171 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $128 | $195 | $238 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $35 | $43 | $51 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $63 | $74 | $85 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $90 | $105 | $120 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $63 | $85 | $108 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $85 | $107 | $147 |
| Consultation office low complexity CPT 99243 • Office Visits | $107 | $117 | $125 |
| Consultation office high complexity CPT 99245 • Office Visits | $170 | $205 | $232 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $510 | $523 | $537 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $33 | $53 | $73 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $934 | $934 | $934 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $350 | $350 | $350 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $925 | $940 | $954 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $444 | $511 | $644 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $351 | $351 | $351 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,096 | $1,096 | $1,096 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $602 | $602 | $602 |