| Psychotherapy 60 minutes CPT 90837 • Mental Health | $100 | $139 | $187 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $92 | $121 | $151 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $136 | $136 | $136 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $70 | $70 | $70 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $72 | $88 | $104 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $88 | $99 | $110 |
| Group psychotherapy CPT 90853 • Mental Health | $24 | $25 | $25 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $70 | $163 | $243 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $180 | $214 | $271 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $147 | $206 | $277 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $46 | $249 | $436 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $80 | $236 | $511 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $68 | $68 | $68 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $65 | $65 | $65 |
| EMG needle each extremity complete CPT 95886 • Neurology | $40 | $96 | $131 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $77 | $77 | $77 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $41 | $118 | $164 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $50 | $104 | $160 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $151 | $207 | $259 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $94 | $296 | $412 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $43 | $90 | $128 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $88 | $128 | $153 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $99 | $188 | $234 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $159 | $248 | $295 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $26 | $36 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $56 | $68 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $48 | $75 | $104 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $75 | $128 | $184 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $110 | $171 | $207 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $63 | $137 | $203 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $104 | $153 | $197 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $145 | $236 | $292 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $31 | $47 | $57 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $51 | $102 | $154 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $73 | $130 | $154 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $65 | $113 | $154 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $89 | $136 | $155 |
| Consultation office low complexity CPT 99243 • Office Visits | $112 | $147 | $203 |
| Consultation office high complexity CPT 99245 • Office Visits | $205 | $263 | $320 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $447 | $691 | $935 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $67 | $86 | $106 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,096 | $1,467 | $1,837 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $330 | $353 | $377 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $989 | $1,340 | $1,691 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $530 | $761 | $993 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $339 | $352 | $365 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $955 | $1,093 | $1,232 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $718 | $812 | $990 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $156 | $184 | $211 |