| Psychotherapy 60 minutes CPT 90837 • Mental Health | $142 | $162 | $181 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $151 | $156 | $161 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $175 | $175 | $175 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $87 | $87 | $87 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $104 | $119 | $134 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $110 | $124 | $139 |
| Group psychotherapy CPT 90853 • Mental Health | $33 | $35 | $38 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $70 | $120 | $178 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $181 | $182 | $183 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $145 | $211 | $277 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $293 | $505 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $80 | $333 | $586 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $151 | $151 | $151 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $216 | $216 | $216 |
| EMG needle each extremity complete CPT 95886 • Neurology | $62 | $96 | $131 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $121 | $121 | $121 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $61 | $77 | $94 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $181 | $189 | $197 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $94 | $122 | $150 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $388 | $400 | $412 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $66 | $76 | $87 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $145 | $148 | $152 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $182 | $201 | $219 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $277 | $288 | $299 |
| Office visit established patient minimal CPT 99211 • Office Visits | $31 | $31 | $31 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $28 | $44 | $76 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $99 | $111 | $122 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $134 | $139 | $144 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $150 | $197 | $244 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $114 | $142 | $158 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $160 | $170 | $179 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $238 | $270 | $301 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $53 | $80 | $120 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $109 | $116 | $124 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $143 | $153 | $164 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $100 | $105 | $111 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $144 | $150 | $157 |
| Consultation office low complexity CPT 99243 • Office Visits | $155 | $160 | $165 |
| Consultation office high complexity CPT 99245 • Office Visits | $290 | $296 | $302 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $837 | $837 | $837 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $52 | $52 | $52 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,583 | $1,583 | $1,583 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $276 | $276 | $276 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,464 | $1,464 | $1,464 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $675 | $675 | $675 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $316 | $316 | $316 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $999 | $999 | $999 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $729 | $729 | $729 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $123 | $123 | $123 |