| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $118 | $132 | $147 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $27 | $38 | $50 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $51 | $72 | $87 |
| Interactive complexity add-on CPT 90785 • Mental Health | $5 | $9 | $13 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $123 | $137 | $147 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $128 | $141 | $147 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $58 | $65 | $71 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $39 | $54 | $79 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $77 | $79 | $83 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $64 | $66 | $71 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $125 | $130 | $136 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $115 | $127 | $133 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $131 | $151 | $172 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $55 | $72 | $89 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $83 | $86 | $89 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $93 | $95 | $98 |
| Group psychotherapy CPT 90853 • Mental Health | $24 | $26 | $27 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $103 | $160 | $216 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $111 | $142 | $172 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $107 | $143 | $178 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $178 | $266 | $353 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $51 | $230 | $409 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $33 | $80 | $106 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $30 | $105 | $143 |
| EMG needle each extremity complete CPT 95886 • Neurology | $89 | $91 | $92 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $42 | $64 | $85 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $68 | $92 | $106 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $143 | $143 | $143 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $79 | $123 | $167 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $116 | $196 | $275 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $40 | $55 | $62 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $57 | $83 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $62 | $127 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $116 | $187 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $26 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $31 | $33 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $33 | $39 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $47 | $82 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $71 | $111 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $71 | $75 | $78 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $110 | $111 | $112 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $150 | $154 | $160 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $38 | $43 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $59 | $63 | $68 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $84 | $94 | $103 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $60 | $65 | $69 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $87 | $95 | $99 |
| Consultation office straightforward CPT 99241 • Office Visits | $29 | $29 | $29 |
| Consultation office low complexity CPT 99243 • Office Visits | $54 | $82 | $111 |