| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $100 | $107 | $119 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $152 | $172 | $196 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $114 | $122 | $129 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $138 | $158 | $184 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $25 | $65 | $88 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $100 | $115 | $129 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $139 | $146 | $157 |
| Group psychotherapy CPT 90853 • Mental Health | $40 | $45 | $48 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $0 | $0 | $0 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $83 | $153 | $223 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $10 | $10 | $10 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $21 | $21 | $21 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $53 | $237 | $421 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $430 | $450 | $470 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $111 | $111 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $128 | $128 | $128 |
| EMG needle each extremity complete CPT 95886 • Neurology | $98 | $98 | $98 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $45 | $45 | $45 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $19 | $19 | $19 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $23 | $23 | $23 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $105 | $105 | $105 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $235 | $235 | $235 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $80 | $85 | $92 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $76 | $113 | $133 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $151 | $176 | $213 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $177 | $210 | $250 |
| Office visit established patient minimal CPT 99211 • Office Visits | $1 | $17 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $3 | $41 | $65 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $72 | $84 | $98 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $111 | $130 | $149 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $154 | $183 | $207 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $81 | $89 | $97 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $128 | $145 | $169 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $101 | $169 | $235 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $41 | $62 | $97 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $58 | $88 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $107 | $118 | $130 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $7 | $68 | $118 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $10 | $89 | $144 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $81 | $131 |
| Consultation office high complexity CPT 99245 • Office Visits | $107 | $175 | $244 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $100 | $100 | $100 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $26 | $26 | $26 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $838 | $838 | $838 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $214 | $214 | $214 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $210 | $210 | $210 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $281 | $281 | $281 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $58 | $58 | $58 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $143 | $143 | $143 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $391 | $391 | $391 |