| Psychotherapy 30 minutes CPT 90832 • Mental Health | $53 | $85 | $104 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $60 | $73 | $89 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $78 | $109 | $135 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $78 | $101 | $113 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $106 | $157 | $197 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $90 | $140 | $182 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $124 | $199 | $292 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $47 | $93 | $151 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $69 | $113 | $148 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $78 | $128 | $178 |
| Group psychotherapy CPT 90853 • Mental Health | $34 | $46 | $54 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $5 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $40 | $191 | $294 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $96 | $209 | $284 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $55 | $163 | $245 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $194 | $308 | $474 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $107 | $321 | $549 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $14 | $92 | $141 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $20 | $97 | $172 |
| EMG needle each extremity complete CPT 95886 • Neurology | $37 | $101 | $144 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $36 | $101 | $156 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $55 | $129 | $192 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $52 | $150 | $230 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $88 | $204 | $303 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $51 | $303 | $498 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $62 | $82 | $96 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $82 | $120 | $143 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $86 | $151 | $203 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $170 | $204 | $259 |
| Office visit established patient minimal CPT 99211 • Office Visits | $15 | $25 | $31 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $36 | $53 | $68 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $73 | $109 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $61 | $123 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $143 | $180 | $217 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $78 | $102 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $145 | $158 | $170 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $198 | $216 | $237 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $51 | $80 | $130 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $40 | $74 | $97 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $13 | $93 | $145 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $98 | $111 | $130 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $110 | $131 | $143 |
| Consultation office low complexity CPT 99243 • Office Visits | $83 | $134 | $180 |
| Consultation office high complexity CPT 99245 • Office Visits | $16 | $202 | $332 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $545 | $907 | $1,125 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $64 | $93 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $657 | $1,443 | $2,119 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $107 | $331 | $517 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $162 | $1,266 | $1,963 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $56 | $572 | $906 |