| Psychotherapy 60 minutes CPT 90837 • Mental Health | $120 | $129 | $137 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $117 | $127 | $137 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $143 | $143 | $143 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $62 | $62 | $62 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $86 | $86 | $86 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $103 | $103 | $103 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $28 | $28 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $115 | $150 | $185 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $161 | $171 | $188 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $98 | $142 | $186 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $51 | $254 | $457 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $454 | $500 | $547 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $113 | $130 | $146 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $101 | $102 | $103 |
| EMG needle each extremity complete CPT 95886 • Neurology | $92 | $109 | $126 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $46 | $82 | $118 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $115 | $132 | $149 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $59 | $118 | $178 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $106 | $170 | $233 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $106 | $242 | $377 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $48 | $54 | $59 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $45 | $64 | $83 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $118 | $151 | $211 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $223 | $250 | $264 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $27 | $45 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $45 | $46 | $47 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $45 | $62 | $79 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $103 | $126 | $138 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $45 | $79 | $113 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $98 | $122 | $147 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $149 | $164 | $179 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $219 | $249 | $264 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $42 | $63 | $83 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $70 | $82 | $94 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $113 | $124 | $135 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $70 | $82 | $94 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $91 | $123 | $139 |
| Consultation office low complexity CPT 99243 • Office Visits | $104 | $135 | $160 |
| Consultation office high complexity CPT 99245 • Office Visits | $186 | $237 | $262 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $742 | $793 | $844 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $36 | $36 | $36 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,606 | $1,753 | $1,900 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $400 | $434 | $468 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,653 | $1,653 | $1,653 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $872 | $872 | $872 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $327 | $406 | $486 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $55 | $384 | $714 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $520 | $699 | $878 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $96 | $96 | $96 |