| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $71 | $78 | $86 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $119 | $153 | $170 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $94 | $122 | $135 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $114 | $133 | $163 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $63 | $72 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $92 | $104 | $112 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $97 | $109 | $116 |
| Group psychotherapy CPT 90853 • Mental Health | $20 | $28 | $40 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $3 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $123 | $144 | $164 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $138 | $138 | $138 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $89 | $112 | $135 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $194 | $223 | $252 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $214 | $242 | $271 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $45 | $68 | $90 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $85 | $108 | $131 |
| EMG needle each extremity complete CPT 95886 • Neurology | $97 | $97 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $50 | $77 | $104 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $69 | $99 | $129 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $31 | $93 | $155 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $111 | $157 | $203 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $67 | $200 | $333 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $43 | $57 | $69 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $73 | $107 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $13 | $86 | $159 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $65 | $122 | $178 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $16 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $20 | $35 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $27 | $55 | $86 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $62 | $86 | $122 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $38 | $94 | $145 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $59 | $68 | $78 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $11 | $81 | $124 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $16 | $99 | $158 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $32 | $35 | $40 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $9 | $44 | $64 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $13 | $70 | $113 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $6 | $43 | $65 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $9 | $62 | $93 |
| Consultation office low complexity CPT 99243 • Office Visits | $13 | $53 | $92 |
| Consultation office high complexity CPT 99245 • Office Visits | $85 | $163 | $203 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $459 | $480 | $501 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $10 | $37 | $65 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $763 | $763 | $763 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $207 | $207 | $207 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,091 | $1,091 | $1,091 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $582 | $582 | $583 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $264 | $321 | $377 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $196 | $196 | $196 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $528 | $528 | $528 |