| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $56 | $82 | $107 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $98 | $121 | $144 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $91 | $129 | $166 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $124 | $162 | $200 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $64 | $73 | $81 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $74 | $114 | $154 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $90 | $125 | $160 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $37 | $49 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $63 | $118 | $173 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $138 | $155 | $172 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $126 | $126 | $126 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $164 | $268 | $372 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $47 | $236 | $425 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $78 | $109 | $124 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $68 | $138 | $174 |
| EMG needle each extremity complete CPT 95886 • Neurology | $41 | $66 | $91 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $45 | $71 | $96 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $53 | $101 | $125 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $64 | $64 | $64 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $173 | $185 | $196 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $162 | $227 | $292 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $67 | $90 | $113 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $100 | $130 | $160 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $105 | $173 | $242 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $140 | $249 | $304 |
| Office visit established patient minimal CPT 99211 • Office Visits | $24 | $29 | $34 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $41 | $54 | $67 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $55 | $83 | $110 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $86 | $136 | $161 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $93 | $153 | $214 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $67 | $106 | $146 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $110 | $154 | $197 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $154 | $246 | $292 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $59 | $84 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $55 | $80 | $105 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $77 | $114 | $150 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $70 | $88 | $106 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $95 | $135 | $156 |
| Consultation office low complexity CPT 99243 • Office Visits | $92 | $142 | $180 |
| Consultation office high complexity CPT 99245 • Office Visits | $180 | $277 | $326 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $375 | $421 | $467 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $47 | $58 | $69 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $745 | $962 | $1,179 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $32 | $134 | $235 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $699 | $953 | $1,206 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $374 | $555 | $646 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $282 | $282 | $282 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $658 | $658 | $658 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $495 | $495 | $495 |