| Office Visit - Basic | $91 | 0% | $91 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $267 | 0% | $267 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $272 | 0% | $272 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $240 | 0% | $240 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $264 | 0% | $264 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $194 | 0% | $194 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $238 | 0% | $238 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $239 | 0% | $239 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $226 | 0% | $226 |
| Office Visit - Established Patient, Low Complexity | $111 | 0% | $111 |
| Office Visit - Established Patient, Moderate Complexity | $169 | 0% | $169 |
| Office Visit - New Patient, Low Complexity | $209 | 0% | $209 |
| Office Visit - New Patient, Minor | $125 | 0% | $125 |
| Office Visit - New Patient, Moderate Complexity | $373 | 0% | $373 |
| Psychiatric Diagnostic Evaluation | $196 | 0% | $196 |
| Psychotherapy - 30 Minutes | $82 | 0% | $82 |
| Psychotherapy - 45 Minutes | $120 | 0% | $120 |
| Psychotherapy - 60 Minutes | $172 | 0% | $172 |
| Psychotherapy - Family Session | $131 | 0% | $131 |
| Psychotherapy - Group Session | $28 | 0% | $28 |
