| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $79 | $84 | $89 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $108 | $129 | $150 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $111 | $123 | $136 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $135 | $156 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $112 | $112 | $112 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $94 | $105 | $117 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $121 | $145 | $169 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $37 | $52 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $111 | $116 | $122 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $111 | $115 | $118 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $117 | $117 | $117 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $50 | $215 | $297 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $348 | $362 | $375 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $49 | $49 | $49 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $128 | $133 | $143 |
| EMG needle each extremity complete CPT 95886 • Neurology | $75 | $76 | $78 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $39 | $55 | $71 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $38 | $80 | $114 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $106 | $170 | $235 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $138 | $224 | $309 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $224 | $254 | $284 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $66 | $74 | $82 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $116 | $144 | $173 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $109 | $151 | $209 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $179 | $183 | $189 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $16 | $25 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $42 | $46 | $50 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $65 | $73 | $81 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $99 | $106 | $117 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $97 | $127 | $157 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $144 | $154 | $164 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $128 | $138 | $148 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $185 | $197 | $217 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $64 | $92 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $95 | $105 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $112 | $140 | $168 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $63 | $78 | $92 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $98 | $105 | $116 |
| Consultation office low complexity CPT 99243 • Office Visits | $106 | $149 | $199 |
| Consultation office high complexity CPT 99245 • Office Visits | $195 | $227 | $242 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $479 | $682 | $886 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $39 | $57 | $74 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,174 | $1,540 | $1,906 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $231 | $239 | $248 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,021 | $1,021 | $1,021 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $437 | $437 | $437 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $237 | $258 | $280 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $700 | $722 | $744 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $510 | $527 | $543 |