| Psychotherapy 60 minutes CPT 90837 • Mental Health | $260 | $260 | $260 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $223 | $223 | $223 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $272 | $272 | $272 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $118 | $118 | $118 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $191 | $191 | $191 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $198 | $198 | $198 |
| Group psychotherapy CPT 90853 • Mental Health | $47 | $47 | $47 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $7 | $9 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $222 | $274 | $326 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $237 | $256 | $275 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $240 | $275 | $310 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $546 | $546 | $546 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $667 | $667 | $667 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $218 | $218 | $218 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $155 | $155 | $155 |
| EMG needle each extremity complete CPT 95886 • Neurology | $86 | $86 | $86 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $101 | $101 | $101 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $222 | $222 | $222 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $151 | $151 | $151 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $203 | $203 | $203 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $202 | $202 | $202 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $75 | $95 | $117 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $112 | $163 | $196 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $163 | $213 | $301 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $180 | $286 | $381 |
| Office visit established patient minimal CPT 99211 • Office Visits | $17 | $24 | $37 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $55 | $76 | $90 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $85 | $114 | $146 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $119 | $159 | $199 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $267 | $279 | $291 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $161 | $175 | $189 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $217 | $236 | $255 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $212 | $302 | $375 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $62 | $67 | $73 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $69 | $106 | $134 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $100 | $152 | $193 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $115 | $125 | $135 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $168 | $183 | $198 |
| Consultation office low complexity CPT 99243 • Office Visits | $153 | $190 | $227 |
| Consultation office high complexity CPT 99245 • Office Visits | $352 | $384 | $416 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,083 | $1,262 | $1,441 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $68 | $78 | $87 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $2,036 | $2,409 | $2,783 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $355 | $467 | $579 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,886 | $2,227 | $2,567 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $869 | $1,023 | $1,177 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $408 | $554 | $700 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,287 | $1,525 | $1,762 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $939 | $1,112 | $1,284 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $196 | $217 | $238 |