| Psychotherapy 60 minutes CPT 90837 • Mental Health | $108 | $153 | $199 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $93 | $97 | $101 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $112 | $115 | $118 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $55 | $57 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $100 | $122 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $77 | $102 | $128 |
| Group psychotherapy CPT 90853 • Mental Health | $22 | $26 | $30 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $79 | $79 | $79 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $172 | $172 | $172 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $136 | $136 | $136 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $71 | $71 | $71 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $49 | $214 | $379 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $77 | $77 | $77 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $99 | $99 | $99 |
| EMG needle each extremity complete CPT 95886 • Neurology | $65 | $65 | $65 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $78 | $78 | $78 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $97 | $97 | $97 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $50 | $50 | $50 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $157 | $157 | $157 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $244 | $244 | $244 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $71 | $94 | $110 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $95 | $126 | $171 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $123 | $144 | $169 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $162 | $235 | $336 |
| Office visit established patient minimal CPT 99211 • Office Visits | $21 | $28 | $35 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $21 | $62 | $86 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $73 | $113 | $138 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $66 | $147 | $195 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $119 | $192 | $274 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $75 | $85 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $115 | $142 | $169 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $30 | $170 | $267 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $36 | $39 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $60 | $93 | $122 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $116 | $144 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $72 | $83 | $93 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $132 | $138 | $143 |
| Consultation office low complexity CPT 99243 • Office Visits | $131 | $131 | $131 |
| Consultation office high complexity CPT 99245 • Office Visits | $210 | $210 | $210 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $758 | $773 | $787 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $49 | $49 | $49 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,484 | $1,484 | $1,484 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $223 | $295 | $368 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,374 | $1,374 | $1,374 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $635 | $635 | $635 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $242 | $269 | $296 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $747 | $842 | $937 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $508 | $518 | $529 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $119 | $131 | $143 |