| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $58 | $68 | $74 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $105 | $114 | $128 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $86 | $104 | $115 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $101 | $126 | $139 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $62 | $69 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $80 | $85 | $95 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $84 | $100 | $116 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $30 | $40 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $11 | $11 | $11 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $81 | $90 | $100 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $18 | $18 | $18 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $300 | $300 | $300 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $205 | $205 | $205 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $49 | $77 | $105 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $76 | $114 | $152 |
| EMG needle each extremity complete CPT 95886 • Neurology | $48 | $48 | $48 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $51 | $68 | $85 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $21 | $21 | $21 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $127 | $127 | $127 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $33 | $33 | $33 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $179 | $179 | $179 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $29 | $49 | $69 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $59 | $83 | $107 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $71 | $101 | $135 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $115 | $152 | $210 |
| Office visit established patient minimal CPT 99211 • Office Visits | $1 | $10 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $6 | $30 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $39 | $56 | $73 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $51 | $87 | $122 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $62 | $117 | $171 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $9 | $44 | $79 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $46 | $69 | $93 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $61 | $113 | $165 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $4 | $25 | $47 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $28 | $46 | $64 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $13 | $63 | $113 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $8 | $43 | $77 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $12 | $52 | $93 |
| Consultation office low complexity CPT 99243 • Office Visits | $46 | $69 | $92 |
| Consultation office high complexity CPT 99245 • Office Visits | $158 | $165 | $172 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $102 | $102 | $102 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $4 | $4 | $4 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $820 | $995 | $1,170 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $31 | $31 | $31 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $216 | $216 | $216 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $50 | $273 | $497 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $147 | $221 | $294 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $148 | $148 | $148 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $81 | $81 | $81 |