| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $92 | $113 | $130 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $157 | $180 | $197 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $144 | $154 | $172 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $124 | $169 | $206 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $71 | $80 | $98 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $92 | $126 | $158 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $128 | $148 | $165 |
| Group psychotherapy CPT 90853 • Mental Health | $35 | $44 | $58 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $2 | $5 | $9 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $12 | $71 | $130 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $86 | $140 | $194 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $20 | $120 | $219 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $56 | $74 | $91 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $374 | $465 | $556 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $110 | $110 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $32 | $155 | $273 |
| EMG needle each extremity complete CPT 95886 • Neurology | $73 | $85 | $98 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $45 | $99 | $153 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $64 | $106 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $78 | $149 | $234 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $153 | $231 | $309 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $184 | $241 | $298 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $70 | $98 | $118 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $109 | $131 | $172 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $105 | $176 | $260 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $22 | $170 | $328 |
| Office visit established patient minimal CPT 99211 • Office Visits | $14 | $21 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $57 | $62 | $69 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $66 | $90 | $115 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $40 | $120 | $169 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $159 | $187 | $228 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $128 | $154 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $146 | $178 | $218 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $168 | $229 | $322 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $6 | $66 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $97 | $113 | $129 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $129 | $148 | $165 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $114 | $124 | $130 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $97 | $133 | $170 |
| Consultation office low complexity CPT 99243 • Office Visits | $117 | $154 | $192 |
| Consultation office high complexity CPT 99245 • Office Visits | $255 | $303 | $350 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $53 | $458 | $864 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $18 | $63 | $108 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $848 | $1,362 | $1,875 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $30 | $180 | $330 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $786 | $1,257 | $1,729 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $749 | $1,015 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $45 | $255 | $465 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $143 | $700 | $1,258 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $52 | $532 | $1,012 |