| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $88 | $106 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $133 | $136 | $138 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $108 | $123 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $139 | $158 | $176 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $66 | $81 | $96 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $107 | $136 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $111 | $137 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $27 | $52 | $77 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $367 | $367 | $367 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $167 | $303 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $134 | $216 | $299 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $367 | $383 | $399 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $397 | $397 | $397 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $56 | $83 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $101 | $141 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $50 | $50 | $50 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $48 | $69 | $90 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $80 | $137 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $55 | $92 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $175 | $195 | $215 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $202 | $244 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $70 | $74 | $81 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $82 | $96 | $109 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $139 | $155 | $164 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $179 | $206 | $222 |
| Office visit established patient minimal CPT 99211 • Office Visits | $22 | $27 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $47 | $53 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $66 | $88 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $80 | $125 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $119 | $147 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $103 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $146 | $158 | $170 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $198 | $204 | $217 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $42 | $85 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $79 | $129 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $90 | $129 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $79 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $115 | $122 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $81 | $131 |
| Consultation office high complexity CPT 99245 • Office Visits | $239 | $247 | $255 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $662 | $662 | $662 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $74 | $74 | $74 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,283 | $1,283 | $1,283 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $265 | $265 | $265 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $609 | $1,188 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $591 | $699 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $322 | $322 | $322 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $862 | $862 | $862 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $362 | $694 |