| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $69 | $84 | $103 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $115 | $150 | $193 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $82 | $127 | $165 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $130 | $147 | $164 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $64 | $73 | $91 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $66 | $97 | $125 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $93 | $106 | $130 |
| Group psychotherapy CPT 90853 • Mental Health | $24 | $27 | $31 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $70 | $133 | $177 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $158 | $169 | $181 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $132 | $178 | $264 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $312 | $407 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $80 | $333 | $479 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $75 | $100 | $113 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $96 | $140 | $162 |
| EMG needle each extremity complete CPT 95886 • Neurology | $55 | $95 | $131 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $18 | $51 | $90 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $56 | $94 | $113 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $97 | $120 | $136 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $178 | $208 | $259 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $124 | $280 | $412 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $59 | $78 | $102 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $92 | $125 | $145 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $138 | $188 | $219 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $183 | $229 | $282 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $24 | $31 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $49 | $70 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $74 | $88 | $112 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $104 | $129 | $159 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $148 | $190 | $224 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $69 | $105 | $178 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $109 | $152 | $185 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $145 | $194 | $273 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $41 | $52 | $61 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $66 | $82 | $99 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $99 | $117 | $147 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $67 | $80 | $100 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $95 | $120 | $147 |
| Consultation office low complexity CPT 99243 • Office Visits | $72 | $126 | $168 |
| Consultation office high complexity CPT 99245 • Office Visits | $229 | $245 | $261 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $670 | $717 | $764 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $47 | $48 | $48 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,442 | $1,442 | $1,442 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $300 | $300 | $300 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,336 | $1,350 | $1,357 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $618 | $623 | $626 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $289 | $289 | $289 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $910 | $910 | $910 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $664 | $690 | $729 |