| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $84 | $87 | $90 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $115 | $115 | $116 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $121 | $129 | $137 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $133 | $149 | $165 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $65 | $67 | $70 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $89 | $100 | $110 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $110 | $120 | $130 |
| Group psychotherapy CPT 90853 • Mental Health | $38 | $42 | $46 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $131 | $178 | $226 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $41 | $102 | $138 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $102 | $115 | $128 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $49 | $249 | $424 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $305 | $354 | $404 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $83 | $110 | $128 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $37 | $130 | $183 |
| EMG needle each extremity complete CPT 95886 • Neurology | $64 | $73 | $81 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $42 | $65 | $87 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $58 | $87 | $108 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $59 | $64 | $69 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $170 | $222 | $273 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $193 | $236 | $278 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $53 | $56 | $59 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $79 | $84 | $89 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $41 | $86 | $150 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $121 | $291 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $17 | $25 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $26 | $35 | $44 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $52 | $62 | $72 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $13 | $99 | $150 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $115 | $129 | $143 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $95 | $127 | $159 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $126 | $143 | $159 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $188 | $206 | $215 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $40 | $58 | $75 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $76 | $76 | $76 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $81 | $96 | $110 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $57 | $67 | $77 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $114 | $125 | $148 |
| Consultation office low complexity CPT 99243 • Office Visits | $119 | $140 | $171 |
| Consultation office high complexity CPT 99245 • Office Visits | $18 | $155 | $241 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $492 | $529 | $566 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $46 | $50 | $53 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $876 | $1,014 | $1,152 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $288 | $288 | $288 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $921 | $1,002 | $1,083 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $37 | $407 | $697 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $48 | $166 | $285 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $792 | $792 | $792 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $404 | $481 | $558 |