| Psychotherapy 60 minutes CPT 90837 • Mental Health | $113 | $134 | $156 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $133 | $133 | $133 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $146 | $146 | $146 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $78 | $78 | $78 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $113 | $113 | $113 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $118 | $118 | $118 |
| Group psychotherapy CPT 90853 • Mental Health | $31 | $31 | $31 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $172 | $172 | $172 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $165 | $165 | $165 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $165 | $165 | $165 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $409 | $409 | $409 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $66 | $66 | $66 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $76 | $76 | $76 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $100 | $100 | $100 |
| EMG needle each extremity complete CPT 95886 • Neurology | $52 | $52 | $52 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $61 | $61 | $61 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $60 | $60 | $60 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $91 | $91 | $91 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $122 | $122 | $122 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $214 | $214 | $214 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $20 | $52 | $85 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $40 | $82 | $120 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $40 | $125 | $184 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $175 | $203 | $232 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $24 | $40 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $29 | $39 | $47 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $40 | $61 | $85 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $40 | $72 | $119 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $163 | $165 | $168 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $76 | $95 | $114 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $121 | $138 | $154 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $161 | $194 | $227 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $43 | $43 | $44 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $73 | $77 | $81 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $93 | $105 | $117 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $75 | $78 | $82 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $106 | $113 | $120 |
| Consultation office low complexity CPT 99243 • Office Visits | $109 | $109 | $109 |
| Consultation office high complexity CPT 99245 • Office Visits | $216 | $216 | $216 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $755 | $755 | $755 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $45 | $45 | $45 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,448 | $1,448 | $1,448 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $233 | $268 | $303 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,340 | $1,340 | $1,340 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $616 | $616 | $616 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $368 | $368 | $368 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $918 | $918 | $918 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $323 | $496 | $669 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $103 | $112 | $121 |