| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $83 | $105 | $128 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $106 | $133 | $174 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $121 | $129 | $142 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $137 | $152 | $170 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $80 | $90 | $107 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $89 | $101 | $113 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $105 | $134 | $178 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $27 | $32 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $14 | $123 | $180 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $17 | $194 | $369 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $167 | $246 | $383 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $454 | $503 | $561 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $460 | $520 | $574 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $97 | $109 | $134 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $192 | $222 | $247 |
| EMG needle each extremity complete CPT 95886 • Neurology | $42 | $94 | $124 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $62 | $80 | $102 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $55 | $82 | $126 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $160 | $195 | $231 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $100 | $149 | $222 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $122 | $238 | $362 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $41 | $77 | $99 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $93 | $133 | $163 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $129 | $177 | $244 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $201 | $228 | $269 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $24 | $35 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $72 | $79 | $84 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $61 | $83 | $106 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $79 | $116 | $156 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $44 | $136 | $189 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $104 | $122 | $140 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $60 | $137 | $189 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $216 | $235 | $251 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $6 | $47 | $73 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $91 | $101 | $115 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $108 | $143 | $172 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $7 | $75 | $117 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $131 | $147 | $166 |
| Consultation office low complexity CPT 99243 • Office Visits | $114 | $128 | $142 |
| Consultation office high complexity CPT 99245 • Office Visits | $186 | $254 | $316 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $463 | $904 | $1,402 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $48 | $72 | $115 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,657 | $2,561 | $3,748 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $49 | $416 | $782 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $145 | $1,712 | $3,471 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $511 | $938 | $1,603 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $410 | $580 | $750 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $129 | $1,381 | $2,366 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $572 | $1,149 | $1,727 |