| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $125 | $141 | $162 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $151 | $176 | $196 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $52 | $66 | $82 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $59 | $73 | $106 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $86 | $117 | $161 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $76 | $90 | $99 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $110 | $151 | $196 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $101 | $130 | $185 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $117 | $130 | $163 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $55 | $64 | $73 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $97 | $128 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $81 | $114 | $157 |
| Group psychotherapy CPT 90853 • Mental Health | $38 | $45 | $55 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $3 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $25 | $42 | $70 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $23 | $102 | $181 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $94 | $185 | $277 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $266 | $367 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $80 | $227 | $374 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $61 | $61 | $61 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $32 | $97 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $53 | $93 | $129 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $89 | $89 | $90 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $56 | $75 | $94 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $56 | $101 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $88 | $174 | $259 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $57 | $235 | $412 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $58 | $77 | $91 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $85 | $121 | $145 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $123 | $191 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $154 | $184 | $218 |
| Office visit established patient minimal CPT 99211 • Office Visits | $21 | $28 | $31 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $46 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $70 | $95 | $110 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $77 | $110 | $136 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $142 | $198 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $69 | $137 | $171 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $66 | $121 | $189 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $30 | $150 | $236 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $42 | $81 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $72 | $110 | $130 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $101 | $140 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $72 | $109 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $98 | $120 | $143 |
| Consultation office straightforward CPT 99241 • Office Visits | $47 | $47 | $47 |
| Consultation office low complexity CPT 99243 • Office Visits | $93 | $134 | $168 |
| Consultation office high complexity CPT 99245 • Office Visits | $18 | $198 | $260 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $30 | $303 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $30 | $30 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $792 | $961 | $1,130 |