| Interactive complexity add-on CPT 90785 • Mental Health | $6 | $24 | $42 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $191 | $305 | $498 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $168 | $326 | $557 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $93 | $140 | $215 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $102 | $138 | $197 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $130 | $187 | $285 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $116 | $170 | $224 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $220 | $320 | $419 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $108 | $219 | $331 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $402 | $402 | $402 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $96 | $147 | $199 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $150 | $201 | $274 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $150 | $207 | $286 |
| Group psychotherapy CPT 90853 • Mental Health | $45 | $60 | $76 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $9 | $11 | $13 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $271 | $5,247 | $19,682 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $136 | $333 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $57 | $129 | $210 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $100 | $453 | $894 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $678 | $870 | $1,062 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $111 | $212 | $312 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $142 | $175 | $221 |
| EMG needle each extremity complete CPT 95886 • Neurology | $144 | $149 | $154 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $90 | $118 | $147 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $112 | $137 | $184 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $134 | $216 | $374 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $175 | $332 | $490 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $285 | $377 | $520 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $71 | $124 | $177 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $183 | $228 | $274 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $164 | $257 | $328 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $222 | $340 | $445 |
| Office visit established patient minimal CPT 99211 • Office Visits | $30 | $37 | $47 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $55 | $81 | $115 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $113 | $185 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $138 | $201 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $247 | $271 | $295 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $129 | $183 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $236 | $262 | $288 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $222 | $318 | $385 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $67 | $88 | $110 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $110 | $175 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $158 | $264 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $111 | $179 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $136 | $191 | $253 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $140 | $251 |
| Consultation office high complexity CPT 99245 • Office Visits | $285 | $377 | $468 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $654 | $14,987 | $42,765 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $57 | $94 | $131 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $2,022 | $3,107 | $4,750 |