| Psychotherapy 60 minutes CPT 90837 • Mental Health | $135 | $136 | $138 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $120 | $120 | $120 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $145 | $145 | $145 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $69 | $69 | $69 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $112 | $112 | $112 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $116 | $116 | $116 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $28 | $28 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $84 | $84 | $84 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $141 | $141 | $141 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $113 | $113 | $113 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $406 | $406 | $406 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $404 | $404 | $404 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $57 | $57 | $57 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $194 | $194 | $194 |
| EMG needle each extremity complete CPT 95886 • Neurology | $102 | $102 | $102 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $49 | $49 | $49 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $65 | $65 | $65 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $89 | $89 | $89 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $119 | $119 | $119 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $331 | $331 | $331 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $75 | $77 | $82 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $68 | $100 | $117 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $174 | $176 | $178 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $153 | $203 | $231 |
| Office visit established patient minimal CPT 99211 • Office Visits | $22 | $24 | $25 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $48 | $55 | $59 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $56 | $77 | $94 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $82 | $100 | $134 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $121 | $144 | $190 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $70 | $83 | $109 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $124 | $148 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $151 | $174 | $220 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $42 | $42 | $42 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $68 | $72 | $79 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $103 | $107 | $113 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $73 | $75 | $79 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $104 | $108 | $118 |
| Consultation office low complexity CPT 99243 • Office Visits | $134 | $134 | $134 |
| Consultation office high complexity CPT 99245 • Office Visits | $244 | $244 | $244 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $600 | $600 | $600 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $76 | $76 | $76 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,304 | $1,304 | $1,304 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $270 | $270 | $270 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,208 | $1,208 | $1,208 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $711 | $711 | $711 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $261 | $261 | $261 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $876 | $876 | $876 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $706 | $706 | $706 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $112 | $112 | $112 |