| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $132 | $132 | $132 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $66 | $66 | $66 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $44 | $44 | $44 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $86 | $86 | $86 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $72 | $72 | $72 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $119 | $119 | $119 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $116 | $116 | $116 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $174 | $174 | $174 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $90 | $90 | $90 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $91 | $91 | $91 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $109 | $109 | $109 |
| Group psychotherapy CPT 90853 • Mental Health | $31 | $31 | $31 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $209 | $6,826 | $19,682 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $57 | $118 | $173 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $57 | $98 | $128 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $171 | $171 | $171 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $89 | $89 | $89 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $35 | $35 | $35 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $109 | $109 | $109 |
| EMG needle each extremity complete CPT 95886 • Neurology | $90 | $90 | $90 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $55 | $55 | $55 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $69 | $69 | $69 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $144 | $144 | $144 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $190 | $190 | $190 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $313 | $313 | $313 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $46 | $61 | $75 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $94 | $94 | $94 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $106 | $134 | $163 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $170 | $205 | $240 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $9 | $9 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $24 | $27 | $31 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $51 | $56 | $60 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $81 | $87 | $94 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $118 | $118 | $118 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $67 | $67 | $67 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $112 | $112 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $156 | $198 | $241 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $34 | $34 | $34 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $55 | $85 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $78 | $97 | $116 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $70 | $70 | $70 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $95 | $95 | $95 |
| Consultation office low complexity CPT 99243 • Office Visits | $119 | $126 | $132 |
| Consultation office high complexity CPT 99245 • Office Visits | $219 | $219 | $219 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $499 | $14,937 | $42,765 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $57 | $58 | $60 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,672 | $3,240 | $4,750 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $57 | $195 | $334 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,240 | $12,323 | $33,816 |