| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $101 | $114 | $124 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $45 | $52 | $72 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $68 | $91 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $71 | $103 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $17 | $29 | $48 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $104 | $119 | $135 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $58 | $99 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $84 | $112 | $134 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $56 | $203 | $285 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $272 | $326 | $379 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $34 | $76 | $97 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $54 | $91 | $138 |
| EMG needle each extremity complete CPT 95886 • Neurology | $66 | $69 | $72 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $26 | $47 | $77 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $65 | $80 | $99 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $54 | $94 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $35 | $104 | $156 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $70 | $197 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $50 | $67 | $73 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $58 | $92 | $112 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $24 | $86 | $155 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $27 | $90 | $155 |
| Office visit established patient minimal CPT 99211 • Office Visits | $2 | $11 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $38 | $47 | $56 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $58 | $72 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $14 | $74 | $101 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $121 | $129 | $140 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $75 | $146 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $92 | $119 | $146 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $96 | $138 | $185 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $35 | $49 | $64 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $55 | $68 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $74 | $94 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $56 | $72 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $80 | $112 | $143 |
| Consultation office low complexity CPT 99243 • Office Visits | $9 | $60 | $92 |
| Consultation office high complexity CPT 99245 • Office Visits | $125 | $174 | $213 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $433 | $568 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $8 | $21 | $30 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $815 | $815 | $815 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $142 | $255 | $368 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $545 | $850 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $349 | $408 | $483 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $45 | $168 | $296 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $514 | $631 | $747 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $375 | $424 | $508 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $30 | $93 | $171 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $464 | $641 | $819 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $30 | $332 | $541 |