| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $76 | $82 | $91 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $99 | $105 | $117 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $92 | $105 | $123 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $118 | $126 | $139 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $60 | $69 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $85 | $99 | $107 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $89 | $104 | $111 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $39 | $49 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $2 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $61 | $98 | $121 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $54 | $81 | $107 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $10 | $79 | $122 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $170 | $265 | $340 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $288 | $350 | $408 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $22 | $58 | $109 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $81 | $126 | $158 |
| EMG needle each extremity complete CPT 95886 • Neurology | $51 | $74 | $93 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $32 | $54 | $87 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $41 | $87 | $111 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $50 | $61 | $75 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $64 | $113 | $174 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $246 | $270 | $282 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $4 | $40 | $74 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $6 | $58 | $106 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $107 | $117 | $127 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $169 | $189 | $209 |
| Office visit established patient minimal CPT 99211 • Office Visits | $3 | $11 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $3 | $24 | $49 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $7 | $49 | $80 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $10 | $71 | $116 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $21 | $99 | $159 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $11 | $74 | $127 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $51 | $100 | $136 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $167 | $180 | $201 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $59 | $72 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $60 | $68 | $72 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $12 | $67 | $103 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $27 | $53 | $72 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $80 | $92 | $107 |
| Consultation office low complexity CPT 99243 • Office Visits | $7 | $75 | $118 |
| Consultation office high complexity CPT 99245 • Office Visits | $160 | $183 | $222 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $299 | $408 | $482 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $3 | $24 | $37 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $771 | $945 | $1,101 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $39 | $146 | $231 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $766 | $891 | $1,021 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $329 | $401 | $470 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $42 | $141 | $240 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $140 | $374 | $609 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $382 | $445 | $509 |