| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $70 | $80 | $90 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $116 | $117 | $117 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $101 | $110 | $119 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $111 | $127 | $143 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $51 | $52 | $53 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $86 | $89 | $93 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $89 | $94 | $100 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $35 | $46 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $45 | $82 | $119 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $45 | $90 | $114 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $114 | $114 | $114 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $309 | $309 | $309 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $317 | $317 | $317 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $45 | $74 | $104 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $146 | $147 | $148 |
| EMG needle each extremity complete CPT 95886 • Neurology | $39 | $39 | $39 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $35 | $35 | $35 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $46 | $77 | $108 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $52 | $88 | $123 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $162 | $162 | $162 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $161 | $161 | $161 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $62 | $63 | $64 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $45 | $68 | $91 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $110 | $133 | $146 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $143 | $180 | $217 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $26 | $45 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $38 | $43 | $49 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $45 | $62 | $78 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $67 | $96 | $111 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $45 | $84 | $123 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $45 | $66 | $86 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $45 | $81 | $117 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $45 | $127 | $171 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $39 | $45 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $45 | $53 | $61 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $45 | $67 | $88 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $45 | $53 | $62 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $90 | $102 | $113 |
| Consultation office low complexity CPT 99243 • Office Visits | $105 | $113 | $127 |
| Consultation office high complexity CPT 99245 • Office Visits | $45 | $156 | $232 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $45 | $284 | $522 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $39 | $42 | $45 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,002 | $1,002 | $1,002 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $176 | $212 | $248 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $45 | $486 | $927 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $37 | $232 | $426 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $200 | $200 | $200 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $635 | $771 | $906 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $404 | $560 | $814 |