| Psychotherapy 60 minutes CPT 90837 • Mental Health | $156 | $163 | $171 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $185 | $185 | $185 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $222 | $222 | $222 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $70 | $70 | $70 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $172 | $172 | $172 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $118 | $118 | $118 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $28 | $28 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $6 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $71 | $218 | $364 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $217 | $331 | $388 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $175 | $280 | $385 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $65 | $332 | $599 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $98 | $400 | $702 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $88 | $88 | $88 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $193 | $241 | $265 |
| EMG needle each extremity complete CPT 95886 • Neurology | $156 | $159 | $161 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $61 | $61 | $61 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $185 | $195 | $214 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $91 | $157 | $222 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $153 | $222 | $291 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $320 | $397 | $473 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $93 | $129 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $120 | $153 | $185 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $145 | $214 | $284 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $264 | $281 | $299 |
| Office visit established patient minimal CPT 99211 • Office Visits | $34 | $47 | $60 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $51 | $67 | $83 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $58 | $96 | $134 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $181 | $187 | $190 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $163 | $215 | $268 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $168 | $171 | $173 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $154 | $195 | $236 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $339 | $345 | $348 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $66 | $67 | $68 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $81 | $103 | $125 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $175 | $177 | $179 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $82 | $104 | $125 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $120 | $163 | $184 |
| Consultation office low complexity CPT 99243 • Office Visits | $206 | $206 | $206 |
| Consultation office high complexity CPT 99245 • Office Visits | $320 | $320 | $320 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $692 | $692 | $692 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $52 | $76 | $101 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $2,004 | $2,004 | $2,004 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $414 | $414 | $414 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,228 | $1,228 | $1,228 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $1,091 | $1,091 | $1,091 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $400 | $400 | $400 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $842 | $842 | $842 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,084 | $1,084 | $1,084 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $111 | $111 | $111 |