| Psychotherapy 60 minutes CPT 90837 • Mental Health | $133 | $179 | $225 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $121 | $165 | $209 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $146 | $198 | $250 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $73 | $100 | $127 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $98 | $132 | $167 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $102 | $138 | $174 |
| Group psychotherapy CPT 90853 • Mental Health | $24 | $36 | $48 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $7 | $10 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $146 | $204 | $262 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $120 | $180 | $235 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $110 | $197 | $284 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $56 | $397 | $738 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $399 | $628 | $857 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $112 | $162 | $212 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $79 | $112 | $145 |
| EMG needle each extremity complete CPT 95886 • Neurology | $96 | $140 | $184 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $90 | $129 | $168 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $65 | $135 | $208 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $134 | $192 | $250 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $175 | $251 | $327 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $181 | $357 | $532 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $47 | $83 | $120 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $112 | $149 | $187 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $167 | $264 | $423 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $130 | $204 | $261 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $24 | $39 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $64 | $94 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $91 | $120 | $149 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $96 | $133 | $151 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $180 | $237 | $293 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $82 | $110 | $138 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $129 | $224 | $330 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $171 | $232 | $281 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $49 | $70 | $82 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $78 | $103 | $128 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $117 | $155 | $193 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $80 | $106 | $131 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $113 | $151 | $187 |
| Consultation office low complexity CPT 99243 • Office Visits | $112 | $135 | $151 |
| Consultation office high complexity CPT 99245 • Office Visits | $178 | $260 | $342 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,179 | $1,263 | $1,347 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $53 | $71 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,165 | $1,674 | $2,182 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $203 | $331 | $460 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,083 | $1,558 | $2,033 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $503 | $724 | $946 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $297 | $368 | $439 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $736 | $1,058 | $1,380 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $537 | $773 | $1,008 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $112 | $141 | $169 |