| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $105 | $105 | $106 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $45 | $53 | $61 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $82 | $111 | $140 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $75 | $94 | $114 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $31 | $38 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $58 | $111 | $164 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $137 | $161 | $187 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $84 | $110 | $135 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $50 | $120 | $252 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $43 | $157 | $271 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $55 | $78 | $91 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $26 | $129 | $229 |
| EMG needle each extremity complete CPT 95886 • Neurology | $62 | $79 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $24 | $64 | $104 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $59 | $106 | $129 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $75 | $78 | $82 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $154 | $179 | $203 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $170 | $252 | $333 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $68 | $70 | $71 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $96 | $101 | $105 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $118 | $218 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $150 | $210 | $291 |
| Office visit established patient minimal CPT 99211 • Office Visits | $13 | $20 | $23 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $24 | $33 | $41 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $58 | $67 | $85 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $68 | $83 | $91 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $132 | $133 | $134 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $75 | $78 | $80 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $89 | $109 | $130 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $172 | $175 | $180 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $40 | $47 | $54 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $62 | $75 | $101 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $104 | $138 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $78 | $86 | $101 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $96 | $103 | $106 |
| Consultation office low complexity CPT 99243 • Office Visits | $63 | $83 | $113 |
| Consultation office high complexity CPT 99245 • Office Visits | $152 | $177 | $203 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $501 | $503 | $505 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $33 | $50 | $65 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,572 | $1,572 | $1,572 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $343 | $343 | $343 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $678 | $885 | $1,091 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $437 | $534 | $583 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $276 | $276 | $276 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $468 | $468 | $468 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $726 | $726 | $726 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $76 | $76 | $76 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,038 | $1,069 | $1,100 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $320 | $469 | $617 |