| Psychotherapy 30 minutes CPT 90832 • Mental Health | $72 | $76 | $80 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $72 | $75 | $77 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $79 | $87 | $95 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $61 | $72 | $84 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $102 | $103 | $105 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $111 | $123 | $136 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $134 | $156 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $67 | $77 | $88 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $112 | $114 | $116 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $87 | $104 | $121 |
| Group psychotherapy CPT 90853 • Mental Health | $40 | $42 | $44 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $100 | $110 | $120 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $101 | $101 | $101 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $141 | $141 | $141 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $101 | $101 | $101 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $59 | $59 | $59 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $107 | $107 | $107 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $128 | $144 | $159 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $144 | $164 | $178 |
| Office visit established patient minimal CPT 99211 • Office Visits | $4 | $11 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $46 | $46 | $46 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $73 | $73 | $73 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $98 | $100 | $104 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $171 | $171 | $171 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $79 | $79 | $79 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $124 | $124 | $124 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $132 | $148 | $165 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $40 | $40 | $40 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $64 | $64 | $64 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $113 | $113 | $113 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $65 | $65 | $65 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $87 | $98 | $109 |
| Consultation office low complexity CPT 99243 • Office Visits | $104 | $106 | $108 |
| Consultation office high complexity CPT 99245 • Office Visits | $194 | $198 | $202 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,174 | $1,174 | $1,174 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $526 | $526 | $526 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $244 | $244 | $244 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $352 | $352 | $352 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $815 | $817 | $819 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $100 | $100 | $100 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $59 | $59 | $59 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $13 | $13 | $13 |
| Fundus photography CPT 92250 • Ophthalmology | $15 | $15 | $15 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $37 | $48 | $59 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,639 | $1,639 | $1,639 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,199 | $1,199 | $1,199 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $279 | $279 | $279 |
| Total knee replacement CPT 27447 • Orthopedics | $1,165 | $1,165 | $1,165 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $544 | $544 | $544 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $792 | $792 | $792 |