| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $55 | $72 | $106 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $71 | $92 | $121 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $69 | $85 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $106 | $122 | $134 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $83 | $123 | $185 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $96 | $98 | $100 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $63 | $79 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $77 | $94 | $125 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $87 | $100 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $25 | $30 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $107 | $107 | $107 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $103 | $112 | $120 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $103 | $103 | $103 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $234 | $293 | $351 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $331 | $355 | $379 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $92 | $99 | $105 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $68 | $110 | $152 |
| EMG needle each extremity complete CPT 95886 • Neurology | $39 | $39 | $39 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $32 | $32 | $32 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $52 | $79 | $106 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $112 | $112 | $112 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $147 | $147 | $147 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $87 | $87 | $87 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $58 | $62 | $65 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $72 | $103 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $104 | $144 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $116 | $152 | $188 |
| Office visit established patient minimal CPT 99211 • Office Visits | $7 | $15 | $23 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $48 | $61 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $40 | $61 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $83 | $110 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $85 | $120 | $154 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $71 | $78 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $103 | $104 | $105 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $128 | $146 | $155 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $36 | $43 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $55 | $73 | $91 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $80 | $86 | $93 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $56 | $64 | $72 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $82 | $102 | $143 |
| Consultation office low complexity CPT 99243 • Office Visits | $9 | $41 | $74 |
| Consultation office high complexity CPT 99245 • Office Visits | $148 | $199 | $251 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $472 | $615 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $35 | $35 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $905 | $905 | $905 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $159 | $202 | $245 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $837 | $837 | $837 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $385 | $462 | $538 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $181 | $238 | $296 |