| Psychotherapy 45 minutes CPT 90834 • Mental Health | $93 | $113 | $134 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $81 | $113 | $145 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $110 | $185 | $222 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $107 | $149 | $190 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $130 | $181 | $232 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $49 | $80 | $111 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $66 | $114 | $162 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $93 | $129 | $169 |
| Group psychotherapy CPT 90853 • Mental Health | $16 | $30 | $44 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $6 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $96 | $152 | $206 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $158 | $178 | $198 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $158 | $160 | $162 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $90 | $187 | $379 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $93 | $266 | $440 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $113 | $138 | $186 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $162 | $197 | $268 |
| EMG needle each extremity complete CPT 95886 • Neurology | $74 | $104 | $141 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $63 | $76 | $90 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $113 | $139 | $190 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $98 | $172 | $217 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $178 | $239 | $299 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $291 | $321 | $367 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $63 | $89 | $118 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $36 | $116 | $168 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $124 | $186 | $257 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $36 | $190 | $277 |
| Office visit established patient minimal CPT 99211 • Office Visits | $30 | $34 | $36 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $28 | $49 | $93 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $36 | $90 | $184 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $36 | $118 | $197 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $36 | $144 | $220 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $36 | $100 | $161 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $36 | $134 | $218 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $36 | $160 | $320 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $62 | $86 | $120 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $115 | $119 | $121 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $120 | $146 | $181 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $115 | $118 | $120 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $95 | $131 | $169 |
| Consultation office low complexity CPT 99243 • Office Visits | $97 | $138 | $194 |
| Consultation office high complexity CPT 99245 • Office Visits | $229 | $271 | $355 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $670 | $792 | $913 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $48 | $58 | $69 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,467 | $1,616 | $1,765 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $367 | $367 | $367 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,356 | $1,492 | $1,628 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $625 | $666 | $746 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $371 | $407 | $444 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $926 | $1,022 | $1,117 |