| Psychotherapy 60 minutes CPT 90837 • Mental Health | $369 | $427 | $485 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $355 | $411 | $466 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $432 | $469 | $506 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $207 | $225 | $243 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $299 | $347 | $395 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $353 | $380 | $408 |
| Group psychotherapy CPT 90853 • Mental Health | $101 | $105 | $108 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $20 | $21 | $22 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $227 | $390 | $554 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $497 | $524 | $538 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $510 | $531 | $552 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $1,060 | $1,202 | $1,297 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $232 | $859 | $1,485 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $210 | $341 | $406 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $307 | $406 | $579 |
| EMG needle each extremity complete CPT 95886 • Neurology | $183 | $255 | $326 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $321 | $357 | $393 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $220 | $375 | $498 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $273 | $380 | $487 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $784 | $1,092 | $1,400 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $1,236 | $1,794 | $2,352 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $191 | $196 | $201 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $269 | $276 | $283 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $320 | $346 | $398 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $77 | $301 | $418 |
| Office visit established patient minimal CPT 99211 • Office Visits | $55 | $58 | $61 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $68 | $88 | $109 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $178 | $188 | $197 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $39 | $161 | $257 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $352 | $387 | $423 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $252 | $259 | $266 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $338 | $348 | $358 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $494 | $503 | $522 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $96 | $99 | $102 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $176 | $181 | $186 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $253 | $261 | $268 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $179 | $184 | $189 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $261 | $266 | $276 |
| Consultation office low complexity CPT 99243 • Office Visits | $275 | $318 | $355 |
| Consultation office high complexity CPT 99245 • Office Visits | $547 | $593 | $645 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,976 | $2,949 | $3,922 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $110 | $154 | $176 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $3,596 | $4,073 | $4,551 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $757 | $778 | $799 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $3,341 | $3,784 | $4,228 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $1,543 | $1,817 | $1,953 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $924 | $1,047 | $1,170 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $2,283 | $2,586 | $2,889 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,664 | $1,885 | $2,106 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $308 | $349 | $389 |