| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $114 | $115 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $112 | $143 | $173 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $145 | $151 | $158 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $167 | $174 | $181 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $63 | $78 | $87 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $112 | $124 | $134 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $130 | $137 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $31 | $45 | $59 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $7 | $7 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $184 | $185 | $187 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $132 | $157 | $182 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $134 | $157 | $186 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $323 | $393 | $488 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $370 | $475 | $581 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $106 | $124 | $159 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $80 | $154 | $226 |
| EMG needle each extremity complete CPT 95886 • Neurology | $69 | $74 | $79 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $38 | $82 | $125 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $73 | $94 | $107 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $87 | $118 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $112 | $152 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $154 | $233 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $65 | $76 | $92 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $98 | $114 | $130 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $163 | $219 | $327 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $180 | $293 | $432 |
| Office visit established patient minimal CPT 99211 • Office Visits | $12 | $21 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $33 | $41 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $88 | $92 | $97 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $62 | $170 | $370 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $174 | $181 | $188 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $97 | $126 | $148 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $164 | $309 | $587 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $96 | $198 | $258 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $50 | $111 | $169 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $69 | $92 | $115 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $100 | $118 | $133 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $10 | $73 | $115 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $110 | $124 | $137 |
| Consultation office low complexity CPT 99243 • Office Visits | $117 | $206 | $341 |
| Consultation office high complexity CPT 99245 • Office Visits | $18 | $178 | $269 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $512 | $661 | $810 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $47 | $64 | $81 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,140 | $1,338 | $1,536 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $323 | $323 | $323 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,048 | $1,210 | $1,427 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $635 | $763 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $308 | $308 | $308 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $975 | $975 | $975 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $42 | $425 | $711 |