| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $164 | $164 | $165 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $82 | $82 | $82 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $83 | $89 | $94 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $95 | $103 | $111 |
| Group psychotherapy CPT 90853 • Mental Health | $46 | $49 | $53 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $6 | $6 | $6 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $24 | $24 | $24 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $70 | $70 | $70 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $335 | $335 | $335 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $462 | $462 | $462 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $118 | $118 | $118 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $85 | $128 | $171 |
| EMG needle each extremity complete CPT 95886 • Neurology | $21 | $21 | $21 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $95 | $95 | $95 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $59 | $59 | $59 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $28 | $28 | $28 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $37 | $37 | $37 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $191 | $191 | $191 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $32 | $32 | $32 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $7 | $7 | $7 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $12 | $12 | $12 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $160 | $173 | $186 |
| Office visit established patient minimal CPT 99211 • Office Visits | $2 | $2 | $2 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $16 | $16 | $16 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $39 | $39 | $39 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $111 | $113 | $115 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $156 | $156 | $156 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $140 | $140 | $140 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $38 | $38 | $38 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $38 | $38 | $38 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $17 | $17 | $17 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $62 | $62 | $62 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $38 | $38 | $38 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $6 | $6 | $6 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $90 | $90 | $90 |
| Consultation office low complexity CPT 99243 • Office Visits | $144 | $144 | $144 |
| Consultation office high complexity CPT 99245 • Office Visits | $2 | $2 | $2 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $85 | $85 | $85 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $7 | $7 | $7 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $898 | $898 | $898 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $38 | $38 | $38 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $38 | $38 | $38 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $77 | $77 | $77 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $120 | $180 | $240 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $151 | $454 | $757 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $38 | $226 | $415 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $70 | $70 | $70 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $907 | $907 | $907 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $51 | $51 | $51 |