| Psychotherapy 60 minutes CPT 90837 • Mental Health | $185 | $270 | $356 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $307 | $307 | $307 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $371 | $371 | $371 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $166 | $166 | $166 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $287 | $287 | $287 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $278 | $278 | $278 |
| Group psychotherapy CPT 90853 • Mental Health | $63 | $67 | $71 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $7 | $10 | $13 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $85 | $252 | $427 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $132 | $220 | $385 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $195 | $286 | $377 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $565 | $743 | $921 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $153 | $153 | $153 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $111 | $143 | $175 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $161 | $190 | $219 |
| EMG needle each extremity complete CPT 95886 • Neurology | $121 | $130 | $138 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $106 | $106 | $106 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $112 | $127 | $142 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $213 | $213 | $213 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $257 | $271 | $285 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $382 | $442 | $501 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $99 | $102 | $108 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $156 | $174 | $209 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $158 | $207 | $318 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $216 | $308 | $400 |
| Office visit established patient minimal CPT 99211 • Office Visits | $29 | $35 | $44 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $50 | $64 | $79 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $78 | $109 | $143 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $125 | $157 | $210 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $211 | $250 | $282 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $100 | $149 | $198 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $169 | $213 | $268 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $193 | $278 | $396 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $58 | $65 | $77 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $95 | $115 | $142 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $154 | $170 | $203 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $101 | $117 | $143 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $102 | $155 | $209 |
| Consultation office low complexity CPT 99243 • Office Visits | $141 | $167 | $188 |
| Consultation office high complexity CPT 99245 • Office Visits | $213 | $325 | $436 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $941 | $1,355 | $1,770 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $106 | $135 | $163 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,849 | $2,650 | $3,452 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $379 | $548 | $716 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,701 | $2,442 | $3,183 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $1,117 | $1,869 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $367 | $527 | $686 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,240 | $1,777 | $2,313 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $997 | $1,428 | $1,860 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $157 | $227 | $296 |