| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $89 | $109 | $130 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $105 | $166 | $227 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $136 | $173 | $210 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $146 | $224 | $301 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $62 | $109 | $156 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $91 | $129 | $167 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $108 | $156 | $203 |
| Group psychotherapy CPT 90853 • Mental Health | $48 | $52 | $57 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $10 | $10 | $10 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $144 | $215 | $285 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $110 | $188 | $306 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $150 | $191 | $231 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $317 | $327 | $337 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $106 | $275 | $444 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $70 | $98 | $119 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $54 | $135 | $177 |
| EMG needle each extremity complete CPT 95886 • Neurology | $92 | $97 | $102 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $96 | $98 | $101 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $108 | $153 | $232 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $58 | $168 | $277 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $163 | $177 | $191 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $310 | $454 | $599 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $62 | $72 | $81 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $93 | $107 | $121 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $118 | $148 | $170 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $215 | $216 | $217 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $23 | $27 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $45 | $47 | $48 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $66 | $70 | $74 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $77 | $95 | $106 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $148 | $149 | $149 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $84 | $109 | $135 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $139 | $139 | $139 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $166 | $188 | $205 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $42 | $61 | $81 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $68 | $75 | $81 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $97 | $101 | $105 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $81 | $84 | $87 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $106 | $113 | $119 |
| Consultation office low complexity CPT 99243 • Office Visits | $115 | $131 | $152 |
| Consultation office high complexity CPT 99245 • Office Visits | $24 | $167 | $277 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $572 | $802 | $1,031 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $46 | $80 | $113 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,826 | $1,826 | $1,826 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $314 | $437 | $559 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,264 | $1,467 | $1,671 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $37 | $504 | $895 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $663 | $663 | $663 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $928 | $1,262 | $1,596 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,203 | $1,203 | $1,203 |