| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $140 | $143 | $146 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $62 | $69 | $76 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $71 | $94 | $116 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $74 | $91 | $108 |
| Group psychotherapy CPT 90853 • Mental Health | $17 | $33 | $48 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $0 | $0 | $0 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $9 | $9 | $9 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $93 | $121 | $149 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $111 | $111 | $111 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $298 | $298 | $298 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $56 | $56 | $56 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $64 | $64 | $64 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $160 | $165 | $170 |
| EMG needle each extremity complete CPT 95886 • Neurology | $95 | $95 | $95 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $41 | $41 | $41 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $51 | $51 | $51 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $73 | $73 | $73 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $183 | $183 | $183 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $185 | $185 | $185 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $62 | $62 | $62 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $16 | $16 | $16 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $121 | $121 | $121 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $15 | $29 | $44 |
| Office visit established patient minimal CPT 99211 • Office Visits | $44 | $44 | $44 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $38 | $38 | $38 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $37 | $37 | $37 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $8 | $55 | $103 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $158 | $158 | $158 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $44 | $44 | $44 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $44 | $44 | $44 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $16 | $16 | $16 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $4 | $4 | $4 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $72 | $72 | $72 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $103 | $103 | $103 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $29 | $29 | $29 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $84 | $84 | $84 |
| Consultation office low complexity CPT 99243 • Office Visits | $114 | $118 | $122 |
| Consultation office high complexity CPT 99245 • Office Visits | $27 | $27 | $27 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $511 | $511 | $511 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $41 | $41 | $41 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,000 | $1,000 | $1,000 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $37 | $37 | $37 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $935 | $935 | $935 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $554 | $554 | $554 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $30 | $30 | $30 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $586 | $586 | $586 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $611 | $611 | $611 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $17 | $17 | $17 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $30 | $30 | $30 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $87 | $87 | $87 |