| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $148 | $148 | $149 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $71 | $73 | $76 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $87 | $102 | $117 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $119 | $120 | $121 |
| Group psychotherapy CPT 90853 • Mental Health | $52 | $57 | $62 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $18 | $18 | $18 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $44 | $47 | $51 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $20 | $20 | $20 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $305 | $531 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $128 | $383 | $639 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $118 | $140 | $163 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $117 | $143 | $170 |
| EMG needle each extremity complete CPT 95886 • Neurology | $52 | $95 | $139 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $19 | $73 | $128 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $59 | $110 | $162 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $62 | $62 | $62 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $137 | $195 | $253 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $406 | $406 | $407 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $30 | $30 | $30 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $116 | $116 | $116 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $68 | $100 | $132 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $18 | $92 | $167 |
| Office visit established patient minimal CPT 99211 • Office Visits | $22 | $22 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $50 | $50 | $50 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $103 | $103 | $103 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $11 | $27 | $44 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $134 | $134 | $134 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $8 | $8 | $8 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $44 | $44 | $44 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $109 | $109 | $109 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $4 | $4 | $4 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $78 | $78 | $78 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $41 | $41 | $41 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $87 | $87 | $87 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $84 | $84 | $84 |
| Consultation office low complexity CPT 99243 • Office Visits | $6 | $25 | $44 |
| Consultation office high complexity CPT 99245 • Office Visits | $30 | $30 | $30 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $567 | $567 | $567 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $44 | $44 | $44 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,429 | $1,593 | $1,757 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $124 | $124 | $124 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $200 | $200 | $200 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $579 | $579 | $579 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $350 | $350 | $350 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $168 | $537 | $906 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $463 | $563 | $662 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $86 | $86 | $86 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,245 | $1,343 | $1,441 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $633 | $633 | $633 |