| Psychotherapy 45 minutes CPT 90834 • Mental Health | $71 | $99 | $147 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $63 | $82 | $101 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $106 | $159 | $220 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $83 | $100 | $117 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $100 | $126 | $152 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $60 | $67 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $114 | $178 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $80 | $129 | $185 |
| Group psychotherapy CPT 90853 • Mental Health | $19 | $38 | $52 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $7 | $13 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $25 | $114 | $271 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $78 | $262 | $375 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $128 | $227 | $342 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $100 | $398 | $894 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $100 | $164 | $235 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $40 | $54 | $67 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $34 | $134 | $226 |
| EMG needle each extremity complete CPT 95886 • Neurology | $45 | $84 | $127 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $19 | $83 | $147 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $41 | $123 | $211 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $79 | $110 | $139 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $92 | $256 | $490 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $87 | $175 | $325 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $58 | $92 | $126 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $66 | $126 | $183 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $99 | $193 | $280 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $158 | $261 | $352 |
| Office visit established patient minimal CPT 99211 • Office Visits | $7 | $30 | $44 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $43 | $80 | $115 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $27 | $83 | $142 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $40 | $132 | $262 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $111 | $189 | $282 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $8 | $97 | $174 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $54 | $149 | $236 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $158 | $290 | $385 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $3 | $44 | $77 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $69 | $123 | $175 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $95 | $181 | $264 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $29 | $84 | $126 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $87 | $176 | $253 |
| Consultation office low complexity CPT 99243 • Office Visits | $31 | $100 | $176 |
| Consultation office high complexity CPT 99245 • Office Visits | $12 | $248 | $402 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $75 | $1,005 | $1,543 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $28 | $36 | $44 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $903 | $1,332 | $2,022 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $46 | $365 | $860 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $835 | $1,404 | $2,040 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $62 | $224 | $385 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $44 | $242 | $500 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $572 | $869 | $1,356 |