| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $65 | $76 | $86 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $115 | $149 | $184 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $107 | $109 | $112 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $123 | $126 | $130 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $66 | $81 | $95 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $95 | $111 | $127 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $86 | $90 | $93 |
| Group psychotherapy CPT 90853 • Mental Health | $24 | $50 | $77 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $153 | $159 | $165 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $127 | $143 | $158 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $117 | $138 | $158 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $379 | $380 | $380 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $351 | $396 | $440 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $49 | $92 | $113 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $162 | $162 | $162 |
| EMG needle each extremity complete CPT 95886 • Neurology | $44 | $71 | $98 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $50 | $70 | $90 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $62 | $96 | $113 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $75 | $77 | $80 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $72 | $125 | $178 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $179 | $235 | $291 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $59 | $65 | $71 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $71 | $82 | $92 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $154 | $159 | $164 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $179 | $185 | $194 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $18 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $42 | $44 | $46 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $68 | $71 | $74 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $73 | $106 | $122 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $135 | $141 | $148 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $69 | $82 | $96 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $109 | $119 | $129 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $145 | $177 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $36 | $39 | $41 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $66 | $66 | $67 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $96 | $98 | $99 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $67 | $67 | $67 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $95 | $108 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $96 | $126 | $171 |
| Consultation office high complexity CPT 99245 • Office Visits | $212 | $232 | $255 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $644 | $657 | $670 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $41 | $48 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,225 | $1,225 | $1,225 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $232 | $232 | $232 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,027 | $1,192 | $1,356 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $625 | $639 | $666 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $313 | $313 | $313 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $704 | $704 | $704 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $513 | $513 | $513 |