| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $65 | $81 | $90 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $128 | $133 | $138 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $98 | $111 | $119 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $140 | $142 | $144 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $52 | $63 | $69 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $95 | $101 | $112 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $99 | $105 | $116 |
| Group psychotherapy CPT 90853 • Mental Health | $26 | $27 | $28 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $37 | $61 | $86 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $126 | $138 | $150 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $132 | $142 | $148 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $374 | $380 | $383 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $364 | $407 | $451 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $128 | $129 | $130 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $89 | $152 | $183 |
| EMG needle each extremity complete CPT 95886 • Neurology | $47 | $73 | $100 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $57 | $72 | $101 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $131 | $132 | $132 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $69 | $99 | $157 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $117 | $176 | $206 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $315 | $319 | $322 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $75 | $76 | $79 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $106 | $111 | $115 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $16 | $106 | $176 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $204 | $212 | $221 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $18 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $44 | $45 | $46 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $55 | $67 | $73 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $107 | $110 | $115 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $143 | $149 | $155 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $100 | $103 | $110 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $135 | $142 | $148 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $100 | $173 | $219 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $38 | $40 | $42 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $71 | $74 | $78 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $102 | $106 | $113 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $72 | $74 | $79 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $105 | $109 | $116 |
| Consultation office low complexity CPT 99243 • Office Visits | $115 | $124 | $133 |
| Consultation office high complexity CPT 99245 • Office Visits | $209 | $220 | $242 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $37 | $342 | $646 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $37 | $47 | $58 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,271 | $1,271 | $1,271 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $318 | $318 | $318 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $37 | $754 | $1,282 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $554 | $598 | $685 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $314 | $314 | $314 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $852 | $852 | $852 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $551 | $618 | $685 |