| Psychotherapy 60 minutes CPT 90837 • Mental Health | $128 | $142 | $155 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $135 | $136 | $138 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $162 | $162 | $162 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $78 | $78 | $78 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $125 | $131 | $137 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $107 | $119 | $130 |
| Group psychotherapy CPT 90853 • Mental Health | $26 | $28 | $31 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $7 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $97 | $290 | $438 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $247 | $321 | $359 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $202 | $273 | $347 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $440 | $447 | $455 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $73 | $298 | $523 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $89 | $89 | $89 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $103 | $103 | $103 |
| EMG needle each extremity complete CPT 95886 • Neurology | $56 | $94 | $116 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $68 | $96 | $122 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $84 | $109 | $146 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $66 | $89 | $102 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $107 | $198 | $247 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $190 | $267 | $375 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $80 | $85 | $93 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $120 | $129 | $134 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $50 | $141 | $203 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $50 | $198 | $255 |
| Office visit established patient minimal CPT 99211 • Office Visits | $24 | $26 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $32 | $45 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $80 | $87 | $91 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $78 | $106 | $134 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $162 | $174 | $180 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $115 | $122 | $126 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $156 | $165 | $170 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $50 | $186 | $250 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $42 | $45 | $48 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $83 | $88 | $91 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $119 | $126 | $130 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $82 | $88 | $91 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $120 | $129 | $133 |
| Consultation office low complexity CPT 99243 • Office Visits | $120 | $142 | $154 |
| Consultation office high complexity CPT 99245 • Office Visits | $275 | $277 | $278 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,669 | $1,669 | $1,669 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $188 | $188 | $188 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,474 | $2,360 | $3,246 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $670 | $670 | $670 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $3,003 | $3,003 | $3,003 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $1,765 | $1,765 | $1,765 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $293 | $553 | $813 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $988 | $1,584 | $2,179 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $794 | $1,275 | $1,755 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $124 | $202 | $279 |