| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $120 | $120 | $120 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $183 | $202 | $220 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $159 | $159 | $159 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $191 | $191 | $191 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $91 | $91 | $91 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $148 | $163 | $178 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $153 | $169 | $185 |
| Group psychotherapy CPT 90853 • Mental Health | $37 | $41 | $45 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $8 | $9 | $9 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $271 | $373 | $515 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $111 | $285 | $423 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $210 | $296 | $408 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $100 | $275 | $451 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $616 | $647 | $678 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $105 | $105 | $105 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $121 | $132 | $142 |
| EMG needle each extremity complete CPT 95886 • Neurology | $66 | $110 | $154 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $65 | $82 | $99 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $99 | $121 | $146 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $118 | $171 | $250 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $107 | $142 | $186 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $190 | $318 | $438 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $109 | $116 | $126 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $157 | $171 | $183 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $50 | $179 | $280 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $50 | $234 | $352 |
| Office visit established patient minimal CPT 99211 • Office Visits | $30 | $33 | $36 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $64 | $75 | $88 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $107 | $124 | $142 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $78 | $124 | $183 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $211 | $247 | $282 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $128 | $150 | $174 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $198 | $212 | $236 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $50 | $241 | $349 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $57 | $67 | $77 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $105 | $117 | $125 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $151 | $172 | $185 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $105 | $119 | $126 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $156 | $173 | $184 |
| Consultation office low complexity CPT 99243 • Office Visits | $154 | $166 | $178 |
| Consultation office high complexity CPT 99245 • Office Visits | $324 | $327 | $329 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,543 | $1,753 | $1,963 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $221 | $221 | $221 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $2,022 | $2,920 | $3,819 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $789 | $824 | $860 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $2,040 | $2,786 | $3,533 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $2,077 | $2,077 | $2,077 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $750 | $853 | $957 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $949 | $1,756 | $2,564 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,090 | $1,577 | $2,065 |