| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $111 | $146 | $199 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $130 | $172 | $246 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $78 | $167 | $240 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $127 | $227 | $298 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $81 | $113 | $162 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $105 | $169 | $245 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $107 | $174 | $257 |
| Group psychotherapy CPT 90853 • Mental Health | $29 | $57 | $87 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $10 | $13 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $61 | $249 | $511 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $164 | $299 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $106 | $244 | $345 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $440 | $661 | $851 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $87 | $569 | $846 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $50 | $165 | $280 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $81 | $186 | $312 |
| EMG needle each extremity complete CPT 95886 • Neurology | $116 | $167 | $224 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $68 | $150 | $227 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $86 | $181 | $260 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $96 | $176 | $223 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $142 | $249 | $410 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $301 | $443 | $621 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $34 | $104 | $155 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $113 | $173 | $224 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $9 | $235 | $430 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $156 | $337 | $540 |
| Office visit established patient minimal CPT 99211 • Office Visits | $31 | $47 | $64 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $43 | $68 | $90 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $70 | $114 | $152 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $68 | $166 | $251 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $121 | $205 | $302 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $139 | $174 | $213 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $57 | $202 | $288 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $195 | $335 | $427 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $75 | $130 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $99 | $126 | $152 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $140 | $174 | $220 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $85 | $129 | $153 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $146 | $178 | $226 |
| Consultation office low complexity CPT 99243 • Office Visits | $44 | $133 | $225 |
| Consultation office high complexity CPT 99245 • Office Visits | $225 | $351 | $468 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $301 | $1,080 | $1,678 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $92 | $130 | $155 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,474 | $2,159 | $2,785 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $42 | $580 | $1,118 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $840 | $2,359 | $3,954 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $52 | $1,072 | $1,742 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $44 | $436 | $970 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $76 | $1,242 | $2,661 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $84 | $961 | $1,502 |