| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $142 | $167 | $191 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $157 | $174 | $191 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $70 | $81 | $93 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $71 | $87 | $102 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $92 | $111 | $130 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $90 | $103 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $138 | $138 | $138 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $108 | $113 | $119 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $131 | $131 | $131 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $69 | $75 | $81 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $102 | $126 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $105 | $128 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $28 | $28 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $432 | $6,905 | $19,682 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $86 | $131 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $57 | $108 | $134 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $348 | $357 | $367 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $413 | $413 | $413 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $111 | $114 | $116 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $84 | $101 | $118 |
| EMG needle each extremity complete CPT 95886 • Neurology | $48 | $48 | $48 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $39 | $42 | $45 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $112 | $115 | $118 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $81 | $107 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $175 | $181 | $186 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $189 | $237 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $71 | $75 | $80 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $113 | $113 | $113 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $164 | $168 | $173 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $199 | $209 | $219 |
| Office visit established patient minimal CPT 99211 • Office Visits | $24 | $27 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $47 | $51 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $54 | $79 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $108 | $111 | $114 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $154 | $154 | $154 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $69 | $108 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $147 | $147 | $147 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $30 | $123 | $216 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $42 | $42 | $42 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $54 | $77 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $71 | $111 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $54 | $78 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $114 | $122 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $67 | $103 |
| Consultation office high complexity CPT 99245 • Office Visits | $191 | $198 | $206 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $654 | $21,710 | $42,765 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $57 | $94 | $131 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $2,264 | $3,468 | $4,750 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $57 | $233 | $432 |