| Obstetric ultrasound limited CPT 76815 • Maternity | $46 | $55 | $63 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $24 | $55 | $89 |
| Interactive complexity add-on CPT 90785 • Mental Health | $3 | $6 | $10 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $116 | $156 | $176 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $115 | $148 | $182 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $36 | $55 | $75 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $47 | $64 | $81 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $67 | $79 | $91 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $74 | $81 | $89 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $81 | $103 | $126 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $77 | $107 | $136 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $93 | $120 | $146 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $56 | $65 | $73 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $66 | $74 | $81 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $85 | $93 | $100 |
| Group psychotherapy CPT 90853 • Mental Health | $18 | $33 | $48 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $98 | $121 | $144 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $89 | $116 | $143 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $88 | $119 | $150 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $37 | $137 | $317 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $280 | $362 | $444 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $75 | $102 | $119 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $53 | $98 | $159 |
| EMG needle each extremity complete CPT 95886 • Neurology | $79 | $90 | $102 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $34 | $65 | $96 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $35 | $70 | $121 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $52 | $52 | $52 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $48 | $120 | $191 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $99 | $204 | $310 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $61 | $62 | $62 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $52 | $75 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $106 | $125 | $157 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $16 | $55 | $120 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $14 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $19 | $32 | $49 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $56 | $78 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $79 | $91 | $108 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $67 | $105 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $63 | $99 | $135 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $86 | $113 | $139 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $164 | $177 | $205 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $57 | $81 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $52 | $66 | $81 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $84 | $95 | $105 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $52 | $67 | $81 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $68 | $94 | $109 |
| Consultation office straightforward CPT 99241 • Office Visits | $34 | $34 | $34 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $83 | $129 |
| Consultation office high complexity CPT 99245 • Office Visits | $136 | $164 | $201 |