| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $115 | $139 | $186 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $295 | $324 | $353 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $108 | $177 | $280 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $150 | $245 | $340 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $61 | $104 | $168 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $130 | $161 | $224 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $157 | $183 | $235 |
| Group psychotherapy CPT 90853 • Mental Health | $56 | $60 | $64 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $11 | $11 | $11 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $56 | $240 | $424 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $132 | $266 | $399 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $134 | $222 | $310 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $130 | $284 | $367 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $412 | $696 | $981 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $103 | $123 | $154 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $144 | $167 | $197 |
| EMG needle each extremity complete CPT 95886 • Neurology | $97 | $112 | $128 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $49 | $78 | $94 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $111 | $202 | $266 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $134 | $196 | $320 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $165 | $172 | $177 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $285 | $331 | $423 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $71 | $80 | $90 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $117 | $168 | $218 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $83 | $191 | $326 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $222 | $326 | $429 |
| Office visit established patient minimal CPT 99211 • Office Visits | $22 | $30 | $47 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $36 | $67 | $112 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $88 | $101 | $126 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $125 | $184 | $251 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $149 | $212 | $276 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $147 | $150 | $157 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $159 | $204 | $248 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $221 | $327 | $430 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $94 | $103 | $111 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $111 | $124 | $150 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $111 | $149 | $226 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $111 | $126 | $155 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $136 | $195 | $229 |
| Consultation office low complexity CPT 99243 • Office Visits | $116 | $165 | $219 |
| Consultation office high complexity CPT 99245 • Office Visits | $285 | $370 | $482 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $580 | $1,084 | $1,588 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $109 | $109 | $109 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,130 | $2,238 | $3,346 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $83 | $332 | $581 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,013 | $1,728 | $3,125 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $468 | $803 | $1,458 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $526 | $695 | $865 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $83 | $1,100 | $2,117 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $521 | $863 | $1,547 |