| Psychotherapy 60 minutes CPT 90837 • Mental Health | $106 | $152 | $176 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $133 | $144 | $161 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $170 | $208 | $247 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $128 | $128 | $128 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $106 | $114 | $122 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $110 | $131 | $152 |
| Group psychotherapy CPT 90853 • Mental Health | $38 | $43 | $47 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $7 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $70 | $146 | $261 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $116 | $158 | $271 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $124 | $192 | $264 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $54 | $235 | $718 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $99 | $381 | $834 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $46 | $46 | $46 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $168 | $168 | $168 |
| EMG needle each extremity complete CPT 95886 • Neurology | $38 | $117 | $181 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $139 | $152 | $165 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $154 | $174 | $205 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $55 | $114 | $197 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $76 | $219 | $323 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $183 | $374 | $526 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $62 | $86 | $129 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $107 | $134 | $185 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $110 | $175 | $235 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $126 | $233 | $342 |
| Office visit established patient minimal CPT 99211 • Office Visits | $14 | $23 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $37 | $51 | $62 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $69 | $99 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $52 | $122 | $184 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $77 | $146 | $198 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $66 | $96 | $139 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $141 | $173 | $236 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $131 | $201 | $278 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $29 | $52 | $64 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $75 | $86 | $100 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $75 | $96 | $119 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $69 | $86 | $103 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $70 | $118 | $147 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $93 | $170 |
| Consultation office high complexity CPT 99245 • Office Visits | $30 | $230 | $407 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $492 | $679 | $867 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $56 | $86 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,458 | $1,458 | $1,458 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $268 | $295 | $322 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,476 | $1,476 | $1,476 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $777 | $777 | $777 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $226 | $392 | $559 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $847 | $847 | $847 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $574 | $962 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $170 | $170 | $170 |