| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $69 | $84 | $103 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $115 | $154 | $193 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $107 | $117 | $136 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $130 | $147 | $164 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $49 | $65 | $82 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $75 | $96 | $125 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $93 | $106 | $131 |
| Group psychotherapy CPT 90853 • Mental Health | $16 | $26 | $35 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $153 | $165 | $177 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $158 | $163 | $168 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $158 | $161 | $167 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $379 | $412 | $477 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $440 | $460 | $479 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $75 | $100 | $113 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $100 | $141 | $162 |
| EMG needle each extremity complete CPT 95886 • Neurology | $63 | $80 | $98 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $65 | $82 | $91 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $81 | $102 | $113 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $68 | $113 | $136 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $129 | $162 | $178 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $291 | $311 | $352 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $59 | $69 | $89 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $92 | $115 | $138 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $138 | $173 | $207 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $183 | $203 | $224 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $16 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $44 | $45 | $47 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $74 | $87 | $112 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $104 | $123 | $159 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $148 | $186 | $224 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $69 | $80 | $102 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $109 | $135 | $161 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $145 | $168 | $214 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $41 | $51 | $61 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $66 | $77 | $98 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $99 | $115 | $147 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $67 | $78 | $100 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $95 | $111 | $141 |
| Consultation office low complexity CPT 99243 • Office Visits | $122 | $128 | $140 |
| Consultation office high complexity CPT 99245 • Office Visits | $224 | $228 | $230 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $670 | $717 | $764 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $47 | $48 | $48 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,442 | $1,661 | $1,879 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $251 | $251 | $251 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,336 | $1,350 | $1,357 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $618 | $623 | $626 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $289 | $289 | $289 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $910 | $910 | $910 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $664 | $784 | $1,012 |