| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $122 | $142 | $163 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $54 | $67 | $81 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $93 | $101 | $109 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $85 | $100 | $114 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $25 | $26 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $60 | $112 | $164 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $16 | $16 | $16 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $89 | $112 | $135 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $50 | $151 | $252 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $54 | $163 | $271 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $38 | $64 | $90 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $46 | $89 | $131 |
| EMG needle each extremity complete CPT 95886 • Neurology | $97 | $97 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $52 | $78 | $104 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $129 | $129 | $129 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $155 | $155 | $155 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $102 | $152 | $203 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $333 | $333 | $334 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $4 | $30 | $57 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $71 | $77 | $83 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $100 | $114 | $128 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $16 | $73 | $130 |
| Office visit established patient minimal CPT 99211 • Office Visits | $2 | $9 | $16 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $32 | $32 | $33 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $5 | $29 | $53 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $62 | $68 | $73 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $84 | $91 | $98 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $59 | $69 | $78 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $54 | $80 | $107 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $79 | $119 | $158 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $32 | $32 | $33 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $58 | $58 | $59 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $83 | $83 | $84 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $58 | $58 | $59 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $85 | $85 | $85 |
| Consultation office low complexity CPT 99243 • Office Visits | $85 | $85 | $85 |
| Consultation office high complexity CPT 99245 • Office Visits | $102 | $152 | $203 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $75 | $288 | $501 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $49 | $57 | $65 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $817 | $817 | $817 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $207 | $207 | $207 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $218 | $655 | $1,091 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $582 | $582 | $583 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $293 | $335 | $377 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $687 | $687 | $687 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $141 | $141 | $141 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $16 | $16 | $16 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $34 | $34 | $34 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $617 | $617 | $618 |