| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $68 | $102 | $143 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $99 | $160 | $220 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $123 | $146 | $171 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $176 | $195 | $229 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $64 | $75 | $95 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $100 | $110 | $127 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $136 | $166 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $45 | $59 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $3 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $30 | $49 | $62 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $66 | $140 | $214 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $67 | $138 | $214 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $279 | $326 | $367 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $429 | $532 | $697 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $52 | $75 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $81 | $134 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $84 | $93 | $98 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $39 | $56 | $89 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $47 | $68 | $111 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $78 | $105 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $88 | $146 | $176 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $143 | $303 | $482 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $30 | $73 | $122 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $12 | $79 | $112 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $138 | $159 | $169 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $158 | $182 | $216 |
| Office visit established patient minimal CPT 99211 • Office Visits | $15 | $23 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $18 | $40 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $75 | $79 | $88 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $106 | $113 | $125 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $14 | $111 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $15 | $110 | $164 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $20 | $97 | $152 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $151 | $184 | $212 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $19 | $54 | $115 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $7 | $63 | $115 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $50 | $87 | $115 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $7 | $62 | $115 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $82 | $107 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $14 | $106 | $199 |
| Consultation office high complexity CPT 99245 • Office Visits | $210 | $233 | $272 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $30 | $360 | $629 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $8 | $26 | $40 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $792 | $1,008 | $1,130 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $39 | $184 | $329 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $613 | $1,764 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $385 | $496 | $621 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $43 | $175 | $306 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $700 | $707 | $715 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $104 | $366 | $521 |