| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $85 | $100 | $115 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $138 | $139 | $140 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $107 | $126 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $159 | $168 | $176 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $95 | $100 | $105 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $73 | $112 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $93 | $121 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $34 | $50 | $66 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $164 | $164 | $164 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $104 | $118 | $132 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $97 | $97 | $97 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $59 | $59 | $59 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $230 | $230 | $230 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $91 | $101 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $85 | $136 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $59 | $59 | $59 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $115 | $115 | $115 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $43 | $63 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $55 | $113 | $170 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $175 | $175 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $109 | $109 | $109 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $53 | $62 | $70 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $78 | $93 | $109 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $119 | $149 | $164 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $157 | $178 | $216 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $20 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $32 | $44 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $37 | $62 | $88 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $99 | $116 | $125 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $105 | $140 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $95 | $132 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $130 | $150 | $170 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $150 | $182 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $31 | $80 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $55 | $92 | $129 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $101 | $115 | $129 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $72 | $100 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $81 | $105 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $80 | $125 | $171 |
| Consultation office high complexity CPT 99245 • Office Visits | $243 | $249 | $255 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $454 | $454 | $454 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $64 | $64 | $64 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $906 | $1,018 | $1,130 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $245 | $245 | $245 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,059 | $1,059 | $1,059 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $441 | $462 | $483 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $286 | $286 | $286 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $970 | $970 | $970 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $690 | $690 | $690 |