| Psychotherapy 60 minutes CPT 90837 • Mental Health | $423 | $428 | $434 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $302 | $322 | $342 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $417 | $418 | $419 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $127 | $155 | $183 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $123 | $200 | $277 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $128 | $210 | $291 |
| Group psychotherapy CPT 90853 • Mental Health | $43 | $61 | $79 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $13 | $14 | $14 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $408 | $418 | $428 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $378 | $381 | $385 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $172 | $276 | $381 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $1,018 | $1,068 | $1,118 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $163 | $726 | $1,288 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $153 | $235 | $318 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $451 | $476 | $501 |
| EMG needle each extremity complete CPT 95886 • Neurology | $155 | $214 | $272 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $158 | $206 | $255 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $86 | $201 | $316 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $78 | $119 | $160 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $231 | $364 | $496 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $329 | $568 | $807 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $60 | $71 | $81 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $136 | $178 | $219 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $127 | $311 | $443 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $252 | $451 | $586 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $13 | $15 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $97 | $114 | $131 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $143 | $150 | $156 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $129 | $270 | $341 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $306 | $356 | $406 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $229 | $262 | $295 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $145 | $282 | $420 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $482 | $528 | $585 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $52 | $94 | $137 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $86 | $153 | $219 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $126 | $228 | $330 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $209 | $218 | $226 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $102 | $244 | $319 |
| Consultation office low complexity CPT 99243 • Office Visits | $173 | $210 | $246 |
| Consultation office high complexity CPT 99245 • Office Visits | $274 | $433 | $591 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,724 | $1,740 | $1,757 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $108 | $120 | $133 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,374 | $2,331 | $3,289 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $301 | $436 | $572 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,361 | $2,210 | $3,058 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $1,421 | $1,478 | $1,535 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $365 | $513 | $661 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,236 | $1,657 | $2,078 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,517 | $1,550 | $1,582 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $254 | $278 | $301 |