| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $66 | $66 | $66 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $108 | $109 | $110 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $106 | $111 | $117 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $142 | $146 | $151 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $54 | $66 | $78 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $79 | $88 | $96 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $99 | $100 | $101 |
| Group psychotherapy CPT 90853 • Mental Health | $29 | $46 | $63 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $140 | $274 | $407 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $110 | $127 | $145 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $113 | $113 | $113 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $50 | $191 | $332 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $49 | $217 | $385 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $32 | $77 | $100 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $72 | $119 | $143 |
| EMG needle each extremity complete CPT 95886 • Neurology | $86 | $86 | $86 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $43 | $62 | $80 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $52 | $84 | $99 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $63 | $91 | $119 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $115 | $149 | $183 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $120 | $144 | $167 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $63 | $114 | $165 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $69 | $162 | $255 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $93 | $122 | $143 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $126 | $169 | $203 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $13 | $18 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $23 | $76 | $128 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $61 | $134 | $207 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $91 | $108 | $117 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $123 | $267 | $412 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $90 | $159 | $228 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $121 | $214 | $307 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $160 | $263 | $451 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $35 | $62 | $88 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $64 | $113 | $162 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $91 | $162 | $233 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $62 | $113 | $163 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $86 | $139 | $238 |
| Consultation office low complexity CPT 99243 • Office Visits | $92 | $105 | $126 |
| Consultation office high complexity CPT 99245 • Office Visits | $212 | $315 | $499 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $551 | $584 | $617 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $37 | $42 | $48 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $976 | $1,056 | $1,136 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $261 | $261 | $261 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,014 | $1,032 | $1,049 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $495 | $521 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $386 | $386 | $386 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $716 | $824 | $932 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $670 | $670 | $670 |