| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $71 | $83 | $89 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $106 | $117 | $124 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $101 | $114 | $137 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $122 | $133 | $143 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $58 | $60 | $62 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $88 | $99 | $109 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $98 | $122 | $146 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $24 | $26 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $1 | $3 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $33 | $46 | $59 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $104 | $129 | $153 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $92 | $94 | $96 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $54 | $124 | $194 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $403 | $501 | $599 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $63 | $66 | $68 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $50 | $100 | $151 |
| EMG needle each extremity complete CPT 95886 • Neurology | $48 | $73 | $98 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $40 | $46 | $52 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $26 | $37 | $47 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $31 | $46 | $60 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $94 | $101 | $108 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $157 | $167 | $178 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $59 | $72 | $91 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $71 | $83 | $89 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $52 | $115 | $153 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $147 | $166 | $177 |
| Office visit established patient minimal CPT 99211 • Office Visits | $1 | $11 | $20 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $39 | $43 | $47 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $40 | $72 | $103 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $6 | $77 | $129 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $15 | $85 | $143 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $141 | $150 | $159 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $11 | $56 | $101 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $147 | $168 | $188 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $6 | $20 | $34 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $58 | $60 | $63 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $10 | $54 | $97 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $36 | $69 | $101 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $67 | $80 | $93 |
| Consultation office low complexity CPT 99243 • Office Visits | $106 | $106 | $107 |
| Consultation office high complexity CPT 99245 • Office Visits | $167 | $187 | $206 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $54 | $454 | $855 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $22 | $31 | $40 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $613 | $858 | $1,104 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $32 | $123 | $214 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $406 | $619 | $831 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $416 | $426 | $437 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $134 | $169 | $205 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $700 | $717 | $734 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $510 | $521 | $531 |