| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $103 | $121 | $140 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $165 | $200 | $235 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $184 | $205 | $227 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $140 | $193 | $245 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $69 | $93 | $118 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $80 | $126 | $172 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $99 | $138 | $178 |
| Group psychotherapy CPT 90853 • Mental Health | $44 | $45 | $47 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $8 | $8 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $111 | $177 | $243 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $150 | $193 | $237 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $236 | $236 | $236 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $98 | $101 | $104 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $104 | $368 | $632 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $114 | $123 | $128 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $150 | $172 | $183 |
| EMG needle each extremity complete CPT 95886 • Neurology | $86 | $129 | $173 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $162 | $163 | $163 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $82 | $140 | $206 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $157 | $202 | $247 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $185 | $188 | $192 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $515 | $517 | $519 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $85 | $96 | $106 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $92 | $137 | $181 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $16 | $146 | $277 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $149 | $197 | $286 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $24 | $39 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $76 | $80 | $83 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $45 | $86 | $126 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $75 | $94 | $133 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $188 | $202 | $215 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $124 | $148 | $172 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $195 | $214 | $233 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $120 | $240 | $342 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $66 | $70 | $74 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $118 | $120 | $122 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $96 | $136 | $176 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $121 | $122 | $123 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $87 | $123 | $181 |
| Consultation office low complexity CPT 99243 • Office Visits | $97 | $125 | $164 |
| Consultation office high complexity CPT 99245 • Office Visits | $209 | $312 | $381 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $30 | $558 | $1,086 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $47 | $65 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,020 | $1,552 | $2,084 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $212 | $324 | $435 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $979 | $1,928 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $554 | $665 | $886 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $529 | $529 | $529 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,321 | $1,321 | $1,321 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $963 | $963 | $963 |