| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $162 | $179 | $198 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $140 | $163 | $183 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $57 | $72 | $88 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $67 | $81 | $93 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $77 | $118 | $164 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $71 | $95 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $105 | $131 | $142 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $94 | $128 | $158 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $134 | $156 | $168 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $60 | $74 | $95 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $104 | $117 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $87 | $110 | $132 |
| Group psychotherapy CPT 90853 • Mental Health | $44 | $54 | $78 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $4 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $62 | $105 | $184 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $78 | $129 | $181 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $11 | $142 | $264 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $256 | $367 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $80 | $212 | $370 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $63 | $85 | $107 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $79 | $120 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $53 | $65 | $79 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $38 | $60 | $83 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $103 | $126 | $164 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $67 | $90 | $112 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $150 | $162 | $168 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $184 | $285 | $412 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $69 | $84 | $102 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $82 | $125 | $182 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $99 | $189 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $139 | $282 |
| Office visit established patient minimal CPT 99211 • Office Visits | $1 | $20 | $31 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $44 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $70 | $80 | $90 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $101 | $147 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $150 | $172 | $198 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $59 | $129 | $171 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $145 | $163 | $185 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $23 | $168 | $239 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $15 | $56 | $115 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $8 | $77 | $115 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $96 | $123 | $143 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $8 | $75 | $115 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $93 | $116 | $144 |
| Consultation office straightforward CPT 99241 • Office Visits | $55 | $55 | $55 |
| Consultation office low complexity CPT 99243 • Office Visits | $18 | $112 | $170 |
| Consultation office high complexity CPT 99245 • Office Visits | $217 | $252 | $302 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $30 | $271 | $512 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $19 | $50 | $81 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $983 | $1,056 | $1,130 |