| Psychotherapy 60 minutes CPT 90837 • Mental Health | $106 | $128 | $145 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $92 | $97 | $102 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $111 | $127 | $143 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $63 | $69 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $92 | $95 | $100 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $95 | $96 | $97 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $25 | $26 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $4 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $16 | $41 | $65 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $110 | $110 | $111 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $12 | $60 | $108 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $49 | $295 | $641 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $91 | $236 | $346 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $45 | $72 | $99 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $72 | $78 | $85 |
| EMG needle each extremity complete CPT 95886 • Neurology | $39 | $96 | $152 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $21 | $27 | $34 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $45 | $55 | $65 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $54 | $120 | $224 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $161 | $219 | $291 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $67 | $246 | $419 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $6 | $48 | $97 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $45 | $86 | $151 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $13 | $119 | $237 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $65 | $187 | $326 |
| Office visit established patient minimal CPT 99211 • Office Visits | $1 | $15 | $25 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $3 | $32 | $73 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $40 | $70 | $108 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $45 | $95 | $149 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $8 | $86 | $159 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $12 | $68 | $107 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $54 | $112 | $169 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $24 | $135 | $211 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $5 | $33 | $62 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $59 | $69 | $87 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $13 | $81 | $145 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $50 | $70 | $101 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $13 | $76 | $126 |
| Consultation office low complexity CPT 99243 • Office Visits | $86 | $94 | $102 |
| Consultation office high complexity CPT 99245 • Office Visits | $152 | $169 | $186 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $92 | $299 | $506 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $34 | $40 | $47 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $817 | $902 | $986 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $173 | $198 | $222 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $764 | $837 | $910 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $58 | $296 | $534 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $247 | $265 | $283 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $147 | $404 | $661 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $34 | $283 | $532 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $85 | $143 | $201 |