| Cesarean delivery including postpartum care CPT 59515 • Maternity | $1,272 | $1,468 | $1,663 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $2,263 | $2,263 | $2,263 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $129 | $129 | $129 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $150 | $150 | $150 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $73 | $131 | $189 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $71 | $82 | $93 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $104 | $104 | $104 |
| Interactive complexity add-on CPT 90785 • Mental Health | $16 | $16 | $16 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $143 | $167 | $191 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $214 | $214 | $215 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $82 | $82 | $82 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $75 | $75 | $76 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $109 | $119 | $129 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $86 | $91 | $96 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $184 | $184 | $184 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $127 | $127 | $127 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $153 | $153 | $153 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $67 | $72 | $76 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $103 | $127 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $107 | $107 | $108 |
| Group psychotherapy CPT 90853 • Mental Health | $66 | $66 | $66 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $166 | $166 | $166 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $142 | $142 | $142 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $125 | $125 | $125 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $367 | $367 | $368 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $420 | $420 | $420 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $124 | $124 | $124 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $171 | $171 | $171 |
| EMG needle each extremity complete CPT 95886 • Neurology | $93 | $93 | $93 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $96 | $96 | $96 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $118 | $118 | $119 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $142 | $142 | $143 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $187 | $187 | $188 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $309 | $309 | $310 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $56 | $56 | $56 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $86 | $86 | $86 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $122 | $143 | $164 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $169 | $169 | $169 |
| Office visit established patient minimal CPT 99211 • Office Visits | $1 | $9 | $17 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $43 | $43 | $43 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $70 | $70 | $70 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $99 | $99 | $99 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $138 | $138 | $138 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $75 | $75 | $75 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $101 | $101 | $101 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $148 | $148 | $149 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $28 | $28 | $28 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $53 | $53 | $53 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $76 | $76 | $77 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $54 | $54 | $54 |