| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $54 | $73 | $93 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $84 | $87 | $91 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $69 | $75 | $81 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $87 | $93 | $99 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $92 | $125 | $158 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $118 | $142 | $167 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $62 | $66 | $70 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $93 | $108 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $101 | $117 | $132 |
| Group psychotherapy CPT 90853 • Mental Health | $22 | $33 | $44 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $184 | $184 | $184 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $143 | $143 | $143 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $152 | $152 | $152 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $54 | $189 | $323 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $52 | $211 | $370 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $107 | $109 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $159 | $159 | $159 |
| EMG needle each extremity complete CPT 95886 • Neurology | $79 | $82 | $86 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $83 | $83 | $83 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $103 | $108 | $112 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $73 | $73 | $73 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $168 | $168 | $168 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $259 | $260 | $262 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $65 | $79 | $92 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $130 | $150 | $170 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $42 | $117 | $165 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $205 | $209 | $212 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $23 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $52 | $54 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $85 | $87 | $90 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $112 | $127 | $159 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $174 | $200 | $226 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $106 | $148 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $164 | $181 | $198 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $223 | $237 | $248 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $43 | $79 | $115 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $73 | $94 | $115 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $123 | $138 | $153 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $75 | $95 | $115 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $103 | $116 | $126 |
| Consultation office low complexity CPT 99243 • Office Visits | $42 | $86 | $129 |
| Consultation office high complexity CPT 99245 • Office Visits | $243 | $256 | $269 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $512 | $635 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $81 | $81 | $81 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $368 | $368 | $368 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,155 | $1,155 | $1,155 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $648 | $705 | $763 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $296 | $296 | $296 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $663 | $663 | $663 |