| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $77 | $88 | $98 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $139 | $148 | $157 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $89 | $112 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $85 | $165 | $233 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $64 | $101 | $167 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $109 | $125 | $133 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $98 | $125 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $16 | $46 | $67 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $3 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $33 | $222 | $407 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $80 | $122 | $164 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $13 | $155 | $318 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $234 | $311 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $52 | $286 | $429 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $20 | $68 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $84 | $135 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $49 | $79 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $38 | $58 | $89 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $69 | $116 | $169 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $72 | $137 | $202 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $74 | $122 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $57 | $167 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $8 | $73 | $165 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $44 | $133 | $255 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $129 | $133 | $139 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $146 | $240 | $333 |
| Office visit established patient minimal CPT 99211 • Office Visits | $4 | $26 | $52 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $36 | $73 | $128 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $70 | $122 | $207 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $62 | $92 | $108 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $14 | $180 | $412 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $152 | $199 | $228 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $16 | $206 | $307 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $166 | $271 | $451 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $19 | $46 | $88 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $97 | $120 | $162 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $16 | $157 | $233 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $57 | $97 | $163 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $98 | $149 | $238 |
| Consultation office low complexity CPT 99243 • Office Visits | $79 | $107 | $149 |
| Consultation office high complexity CPT 99245 • Office Visits | $184 | $388 | $499 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $121 | $526 | $855 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $28 | $46 | $74 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $967 | $1,022 | $1,076 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $43 | $272 | $500 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $905 | $1,526 | $2,627 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $416 | $570 | $811 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $161 | $213 | $265 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $72 | $608 | $1,039 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $104 | $274 | $444 |