| Psychotherapy 60 minutes CPT 90837 • Mental Health | $271 | $287 | $304 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $238 | $238 | $238 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $317 | $317 | $317 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $137 | $137 | $137 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $223 | $223 | $223 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $125 | $178 | $231 |
| Group psychotherapy CPT 90853 • Mental Health | $61 | $61 | $61 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $8 | $10 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $96 | $197 | $298 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $282 | $282 | $282 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $272 | $272 | $272 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $90 | $372 | $655 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $127 | $127 | $127 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $258 | $258 | $258 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $371 | $371 | $371 |
| EMG needle each extremity complete CPT 95886 • Neurology | $109 | $115 | $120 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $206 | $206 | $206 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $148 | $148 | $148 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $137 | $169 | $201 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $414 | $414 | $414 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $432 | $545 | $659 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $118 | $140 | $161 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $145 | $187 | $229 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $257 | $303 | $350 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $254 | $348 | $442 |
| Office visit established patient minimal CPT 99211 • Office Visits | $38 | $44 | $49 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $93 | $95 | $96 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $92 | $126 | $160 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $170 | $183 | $197 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $276 | $294 | $312 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $126 | $171 | $216 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $199 | $247 | $294 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $265 | $350 | $434 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $75 | $80 | $84 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $121 | $138 | $156 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $170 | $197 | $224 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $119 | $138 | $157 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $103 | $167 | $231 |
| Consultation office low complexity CPT 99243 • Office Visits | $265 | $265 | $265 |
| Consultation office high complexity CPT 99245 • Office Visits | $413 | $413 | $413 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,177 | $1,177 | $1,177 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $80 | $80 | $80 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $2,539 | $2,539 | $2,539 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $445 | $445 | $445 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $2,349 | $2,349 | $2,349 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $1,080 | $1,080 | $1,080 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $644 | $644 | $644 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,610 | $1,610 | $1,610 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,174 | $1,174 | $1,174 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $217 | $217 | $217 |