| Psychotherapy 60 minutes CPT 90837 • Mental Health | $128 | $191 | $254 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $234 | $234 | $234 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $331 | $331 | $331 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $171 | $171 | $171 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $179 | $179 | $179 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $223 | $272 | $321 |
| Group psychotherapy CPT 90853 • Mental Health | $64 | $64 | $64 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $8 | $10 | $12 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $341 | $503 | $665 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $264 | $314 | $351 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $291 | $297 | $303 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $481 | $488 | $495 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $517 | $548 | $578 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $72 | $72 | $72 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $249 | $249 | $249 |
| EMG needle each extremity complete CPT 95886 • Neurology | $66 | $134 | $202 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $218 | $218 | $218 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $125 | $134 | $138 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $166 | $169 | $171 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $195 | $205 | $216 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $350 | $378 | $406 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $104 | $151 | $197 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $150 | $193 | $236 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $155 | $245 | $352 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $289 | $415 | $478 |
| Office visit established patient minimal CPT 99211 • Office Visits | $32 | $44 | $56 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $62 | $77 | $92 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $100 | $113 | $126 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $151 | $180 | $194 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $203 | $246 | $288 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $142 | $163 | $184 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $194 | $248 | $303 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $176 | $288 | $405 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $59 | $77 | $94 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $106 | $126 | $146 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $151 | $179 | $206 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $106 | $141 | $176 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $153 | $203 | $228 |
| Consultation office low complexity CPT 99243 • Office Visits | $204 | $204 | $204 |
| Consultation office high complexity CPT 99245 • Office Visits | $366 | $366 | $366 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,135 | $1,241 | $1,346 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $136 | $289 | $443 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $2,266 | $2,266 | $2,266 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $286 | $473 | $660 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $2,269 | $2,269 | $2,269 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $1,211 | $1,211 | $1,211 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $233 | $551 | $870 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $725 | $1,382 | $2,040 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $532 | $999 | $1,465 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $86 | $252 | $418 |