| Psychotherapy 30 minutes CPT 90832 • Mental Health | $72 | $78 | $82 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $61 | $91 | $106 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $71 | $107 | $129 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $71 | $92 | $119 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $119 | $128 | $138 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $111 | $160 | $185 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $101 | $132 | $163 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $55 | $67 | $79 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $84 | $112 | $127 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $99 | $138 | $157 |
| Group psychotherapy CPT 90853 • Mental Health | $40 | $44 | $49 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $30 | $30 | $30 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $30 | $30 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $147 | $147 | $147 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $351 | $351 | $351 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $451 | $451 | $451 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $101 | $114 | $128 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $141 | $141 | $141 |
| EMG needle each extremity complete CPT 95886 • Neurology | $100 | $100 | $100 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $101 | $101 | $101 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $101 | $116 | $131 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $206 | $206 | $206 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $321 | $321 | $321 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $59 | $80 | $91 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $107 | $118 | $129 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $129 | $153 | $196 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $178 | $212 | $246 |
| Office visit established patient minimal CPT 99211 • Office Visits | $4 | $11 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $46 | $51 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $73 | $98 | $110 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $104 | $141 | $160 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $171 | $172 | $173 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $59 | $80 | $100 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $124 | $129 | $135 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $132 | $165 | $199 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $38 | $43 | $47 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $64 | $68 | $71 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $96 | $99 | $102 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $72 | $74 | $77 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $87 | $100 | $109 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $103 | $171 |
| Consultation office high complexity CPT 99245 • Office Visits | $194 | $202 | $209 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $30 | $30 | $30 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $30 | $30 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,467 | $1,467 | $1,467 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $30 | $30 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $526 | $540 | $554 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $30 | $30 | $30 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $30 | $30 | $30 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $30 | $30 | $30 |