| Psychotherapy 60 minutes CPT 90837 • Mental Health | $99 | $108 | $116 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $106 | $106 | $106 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $159 | $159 | $159 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $83 | $83 | $83 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $84 | $84 | $84 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $100 | $100 | $100 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $28 | $28 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $134 | $190 | $245 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $147 | $190 | $232 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $109 | $170 | $231 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $157 | $157 | $157 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $53 | $53 | $53 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $79 | $79 | $79 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $75 | $75 | $75 |
| EMG needle each extremity complete CPT 95886 • Neurology | $83 | $83 | $83 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $50 | $50 | $50 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $110 | $110 | $110 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $57 | $57 | $57 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $73 | $73 | $73 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $108 | $108 | $108 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $56 | $82 | $103 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $69 | $95 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $118 | $160 | $190 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $159 | $258 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $25 | $33 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $33 | $61 | $80 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $61 | $121 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $91 | $171 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $104 | $165 | $258 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $59 | $89 | $117 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $98 | $132 | $186 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $137 | $176 | $247 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $48 | $70 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $49 | $87 | $130 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $69 | $118 | $169 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $62 | $95 | $130 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $84 | $118 | $163 |
| Consultation office low complexity CPT 99243 • Office Visits | $81 | $121 | $161 |
| Consultation office high complexity CPT 99245 • Office Visits | $193 | $247 | $301 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $453 | $756 | $1,059 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $41 | $53 | $65 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $901 | $1,449 | $1,997 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $233 | $284 | $347 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $812 | $1,331 | $1,850 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $435 | $646 | $856 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $319 | $359 | $400 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $784 | $1,022 | $1,260 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $323 | $637 | $919 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $103 | $144 | $174 |