| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $60 | $83 | $110 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $103 | $144 | $181 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $117 | $132 | $161 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $108 | $149 | $196 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $54 | $71 | $97 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $72 | $110 | $134 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $101 | $114 | $139 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $26 | $33 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $13 | $49 | $85 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $21 | $103 | $183 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $74 | $128 | $183 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $322 | $371 | $429 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $250 | $417 | $586 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $57 | $81 | $105 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $150 | $172 | $216 |
| EMG needle each extremity complete CPT 95886 • Neurology | $47 | $66 | $90 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $35 | $64 | $85 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $105 | $123 | $151 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $81 | $133 | $181 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $94 | $146 | $178 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $253 | $264 | $270 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $66 | $80 | $87 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $113 | $123 | $128 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $65 | $126 | $226 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $137 | $228 | $299 |
| Office visit established patient minimal CPT 99211 • Office Visits | $14 | $21 | $31 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $3 | $34 | $51 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $61 | $89 | $122 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $82 | $115 | $174 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $102 | $173 | $244 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $32 | $70 | $114 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $171 | $173 | $179 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $109 | $231 | $444 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $31 | $50 | $68 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $92 | $97 | $109 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $69 | $121 | $164 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $57 | $87 | $111 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $44 | $94 | $157 |
| Consultation office low complexity CPT 99243 • Office Visits | $81 | $125 | $171 |
| Consultation office high complexity CPT 99245 • Office Visits | $132 | $201 | $290 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $80 | $411 | $743 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $36 | $44 | $52 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,173 | $1,378 | $1,583 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $20 | $185 | $330 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $759 | $1,111 | $1,464 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $375 | $525 | $675 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $234 | $317 | $400 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $517 | $752 | $999 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $108 | $419 | $729 |