| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $119 | $128 | $138 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $147 | $147 | $147 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $185 | $185 | $185 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $163 | $163 | $163 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $58 | $62 | $66 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $132 | $141 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $150 | $154 | $157 |
| Group psychotherapy CPT 90853 • Mental Health | $49 | $49 | $49 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $30 | $30 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $118 | $118 | $118 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $275 | $313 | $351 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $94 | $94 | $94 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $134 | $134 | $134 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $15 | $15 | $15 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $97 | $97 | $97 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $116 | $116 | $116 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $153 | $153 | $153 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $235 | $235 | $235 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $71 | $81 | $91 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $129 | $129 | $129 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $164 | $180 | $196 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $133 | $147 | $162 |
| Office visit established patient minimal CPT 99211 • Office Visits | $28 | $29 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $54 | $54 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $70 | $110 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $62 | $95 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $173 | $173 | $173 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $30 | $30 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $16 | $16 | $16 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $73 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $30 | $30 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $30 | $30 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $96 | $96 | $96 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $30 | $30 |
| Consultation office high complexity CPT 99245 • Office Visits | $233 | $233 | $233 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $30 | $30 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $374 | $374 | $374 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $30 | $30 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $30 | $30 | $30 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $30 | $30 | $30 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $30 | $30 | $30 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $25 | $25 | $25 |
| Excision chalazion single CPT 67800 • Ophthalmology | $10 | $10 | $10 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $45 | $45 | $45 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $62 | $62 | $62 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $87 | $87 | $87 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $28 | $28 | $28 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $30 | $30 | $30 |
| Fundus photography CPT 92250 • Ophthalmology | $7 | $7 | $7 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $11 | $11 | $11 |