| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $58 | $82 | $107 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $101 | $106 | $112 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $93 | $100 | $107 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $130 | $131 | $133 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $69 | $69 | $69 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $71 | $73 | $76 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $89 | $91 | $93 |
| Group psychotherapy CPT 90853 • Mental Health | $16 | $21 | $26 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $141 | $141 | $141 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $135 | $147 | $158 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $119 | $119 | $119 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $147 | $156 | $165 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $44 | $242 | $440 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $29 | $85 | $113 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $64 | $130 | $162 |
| EMG needle each extremity complete CPT 95886 • Neurology | $80 | $89 | $98 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $41 | $66 | $90 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $107 | $111 | $113 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $68 | $68 | $68 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $91 | $134 | $178 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $114 | $202 | $291 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $54 | $70 | $87 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $77 | $103 | $128 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $118 | $139 | $179 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $50 | $115 | $149 |
| Office visit established patient minimal CPT 99211 • Office Visits | $16 | $18 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $19 | $35 | $51 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $52 | $68 | $84 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $78 | $134 | $162 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $104 | $138 | $172 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $73 | $77 | $80 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $100 | $135 | $171 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $147 | $170 | $181 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $41 | $51 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $54 | $73 | $92 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $78 | $104 | $131 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $54 | $74 | $93 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $79 | $88 | $104 |
| Consultation office low complexity CPT 99243 • Office Visits | $80 | $114 | $131 |
| Consultation office high complexity CPT 99245 • Office Visits | $188 | $226 | $245 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $514 | $514 | $514 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $56 | $56 | $56 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $935 | $1,201 | $1,467 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $237 | $237 | $237 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $937 | $937 | $937 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $500 | $563 | $626 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $359 | $359 | $359 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $842 | $884 | $926 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $605 | $640 | $675 |