| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $67 | $89 | $108 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $102 | $119 | $138 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $118 | $137 | $171 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $207 | $208 | $210 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $58 | $65 | $70 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $89 | $95 | $104 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $105 | $122 | $133 |
| Group psychotherapy CPT 90853 • Mental Health | $33 | $40 | $44 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $7 | $67 | $127 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $98 | $98 | $98 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $11 | $61 | $110 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $50 | $177 | $303 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $50 | $201 | $352 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $45 | $74 | $103 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $76 | $112 | $148 |
| EMG needle each extremity complete CPT 95886 • Neurology | $37 | $57 | $77 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $17 | $50 | $83 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $59 | $83 | $107 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $58 | $58 | $58 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $94 | $131 | $168 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $258 | $258 | $259 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $58 | $70 | $77 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $84 | $104 | $116 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $40 | $153 | $214 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $220 | $251 | $275 |
| Office visit established patient minimal CPT 99211 • Office Visits | $24 | $38 | $61 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $54 | $58 | $61 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $67 | $96 | $111 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $32 | $108 | $157 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $188 | $207 | $220 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $8 | $84 | $139 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $40 | $102 | $144 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $182 | $212 | $241 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $16 | $41 | $61 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $40 | $68 | $87 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $9 | $81 | $124 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $65 | $76 | $87 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $13 | $84 | $128 |
| Consultation office low complexity CPT 99243 • Office Visits | $71 | $90 | $110 |
| Consultation office high complexity CPT 99245 • Office Visits | $16 | $150 | $232 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $74 | $283 | $492 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $6 | $17 | $29 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $876 | $876 | $876 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $15 | $15 | $15 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $122 | $466 | $811 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $262 | $318 | $374 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $18 | $18 | $18 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $416 | $416 | $416 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $304 | $304 | $304 |