| Psychotherapy 60 minutes CPT 90837 • Mental Health | $102 | $117 | $132 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $113 | $113 | $113 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $137 | $137 | $137 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $59 | $59 | $59 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $96 | $96 | $96 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $99 | $99 | $99 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $23 | $23 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $133 | $133 | $133 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $128 | $128 | $128 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $128 | $128 | $128 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $291 | $291 | $291 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $410 | $410 | $410 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $114 | $114 | $114 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $163 | $163 | $163 |
| EMG needle each extremity complete CPT 95886 • Neurology | $48 | $48 | $48 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $39 | $39 | $39 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $51 | $51 | $51 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $77 | $77 | $77 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $182 | $182 | $182 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $181 | $181 | $181 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $20 | $34 | $48 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $81 | $111 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $110 | $155 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $157 | $177 | $196 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $15 | $21 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $43 | $56 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $62 | $85 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $78 | $103 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $138 | $153 | $168 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $76 | $86 | $97 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $113 | $122 | $131 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $151 | $171 | $192 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $40 | $43 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $68 | $71 | $73 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $99 | $101 | $103 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $69 | $72 | $75 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $101 | $104 | $106 |
| Consultation office low complexity CPT 99243 • Office Visits | $117 | $117 | $117 |
| Consultation office high complexity CPT 99245 • Office Visits | $214 | $214 | $214 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $522 | $522 | $522 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $44 | $44 | $44 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,122 | $1,122 | $1,122 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $233 | $234 | $235 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,038 | $1,038 | $1,038 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $478 | $478 | $478 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $224 | $224 | $224 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $712 | $712 | $712 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $461 | $490 | $519 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $94 | $99 | $103 |