| Psychotherapy 45 minutes CPT 90834 • Mental Health | $107 | $109 | $110 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $98 | $109 | $119 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $149 | $149 | $149 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $137 | $141 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $150 | $150 | $150 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $61 | $75 | $89 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $97 | $107 | $116 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $121 | $139 | $157 |
| Group psychotherapy CPT 90853 • Mental Health | $51 | $51 | $51 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $130 | $130 | $130 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $128 | $128 | $128 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $399 | $399 | $399 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $469 | $469 | $469 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $111 | $114 | $118 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $170 | $170 | $170 |
| EMG needle each extremity complete CPT 95886 • Neurology | $97 | $97 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $93 | $93 | $94 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $111 | $114 | $117 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $140 | $140 | $140 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $183 | $183 | $183 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $285 | $291 | $297 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $82 | $82 | $82 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $108 | $135 | $163 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $44 | $134 | $224 |
| Office visit established patient minimal CPT 99211 • Office Visits | $44 | $44 | $44 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $50 | $50 | $50 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $81 | $81 | $81 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $118 | $118 | $118 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $108 | $108 | $108 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $217 | $217 | $217 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $92 | $92 | $92 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $112 | $112 | $112 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $58 | $58 | $58 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $116 | $116 | $116 |
| Consultation office low complexity CPT 99243 • Office Visits | $143 | $143 | $143 |
| Consultation office high complexity CPT 99245 • Office Visits | $243 | $243 | $243 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,336 | $1,336 | $1,336 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $621 | $621 | $621 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $662 | $662 | $662 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $139 | $139 | $139 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,441 | $1,441 | $1,441 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $633 | $633 | $633 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $416 | $416 | $416 |
| Excision chalazion single CPT 67800 • Ophthalmology | $160 | $160 | $160 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $1,002 | $1,002 | $1,002 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $86 | $86 | $86 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $122 | $122 | $122 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $38 | $38 | $39 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $48 | $48 | $48 |