| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $54 | $59 | $65 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $68 | $80 | $92 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $90 | $95 | $100 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $125 | $145 | $164 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $92 | $105 | $119 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $118 | $125 | $131 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $46 | $58 | $69 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $90 | $102 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $101 | $103 | $105 |
| Group psychotherapy CPT 90853 • Mental Health | $22 | $25 | $28 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $62 | $62 | $62 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $114 | $123 | $132 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $129 | $129 | $129 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $290 | $290 | $290 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $379 | $396 | $413 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $64 | $88 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $84 | $123 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $94 | $94 | $94 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $54 | $54 | $54 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $37 | $51 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $81 | $81 | $81 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $78 | $78 | $78 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $108 | $108 | $108 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $39 | $60 | $74 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $82 | $112 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $107 | $169 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $149 | $225 |
| Office visit established patient minimal CPT 99211 • Office Visits | $20 | $24 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $37 | $56 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $50 | $73 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $55 | $82 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $103 | $168 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $83 | $100 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $121 | $128 | $136 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $182 | $193 | $200 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $39 | $39 | $39 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $62 | $67 | $71 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $103 | $106 | $110 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $72 | $73 | $75 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $105 | $126 | $143 |
| Consultation office low complexity CPT 99243 • Office Visits | $121 | $146 | $171 |
| Consultation office high complexity CPT 99245 • Office Visits | $191 | $223 | $255 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $599 | $679 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $33 | $36 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,157 | $1,157 | $1,157 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $203 | $224 | $245 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,067 | $1,067 | $1,067 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $486 | $489 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $291 | $294 | $296 |