| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $109 | $164 | $254 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $276 | $276 | $276 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $153 | $153 | $153 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $91 | $135 | $211 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $95 | $146 | $220 |
| Group psychotherapy CPT 90853 • Mental Health | $34 | $43 | $52 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $7 | $10 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $132 | $156 | $180 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $101 | $182 | $248 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $66 | $146 | $226 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $192 | $528 | $810 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $100 | $458 | $817 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $39 | $74 | $109 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $30 | $100 | $170 |
| EMG needle each extremity complete CPT 95886 • Neurology | $102 | $114 | $129 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $110 | $111 | $113 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $58 | $145 | $234 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $118 | $161 | $203 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $90 | $193 | $264 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $219 | $310 | $401 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $50 | $80 | $99 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $77 | $108 | $134 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $136 | $180 | $228 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $152 | $224 | $287 |
| Office visit established patient minimal CPT 99211 • Office Visits | $12 | $22 | $35 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $26 | $54 | $78 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $38 | $73 | $109 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $63 | $116 | $194 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $84 | $176 | $276 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $73 | $91 | $114 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $120 | $154 | $181 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $168 | $212 | $241 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $50 | $68 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $60 | $86 | $109 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $85 | $119 | $164 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $71 | $86 | $111 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $95 | $131 | $159 |
| Consultation office low complexity CPT 99243 • Office Visits | $5 | $134 | $239 |
| Consultation office high complexity CPT 99245 • Office Visits | $196 | $244 | $292 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $665 | $1,084 | $1,428 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $43 | $60 | $82 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,203 | $1,835 | $2,467 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $216 | $336 | $431 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,083 | $1,639 | $2,285 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $581 | $818 | $1,055 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $229 | $427 | $626 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,046 | $1,398 | $1,590 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $789 | $1,172 | $1,590 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $232 | $235 | $238 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,582 | $2,073 | $2,485 |