| Psychotherapy 60 minutes CPT 90837 • Mental Health | $113 | $120 | $127 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $94 | $118 | $146 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $101 | $132 | $176 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $67 | $69 | $71 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $92 | $102 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $99 | $114 | $141 |
| Group psychotherapy CPT 90853 • Mental Health | $30 | $38 | $45 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $207 | $207 | $207 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $379 | $379 | $379 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $114 | $114 | $114 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $165 | $165 | $165 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $146 | $146 | $146 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $69 | $79 | $96 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $107 | $118 | $136 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $159 | $195 | $218 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $178 | $226 | $261 |
| Office visit established patient minimal CPT 99211 • Office Visits | $7 | $26 | $50 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $54 | $56 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $56 | $78 | $93 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $8 | $67 | $129 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $145 | $171 | $184 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $86 | $127 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $93 | $129 | $172 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $151 | $206 | $254 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $40 | $56 | $80 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $75 | $83 | $91 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $88 | $105 | $130 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $65 | $76 | $92 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $93 | $110 | $135 |
| Consultation office low complexity CPT 99243 • Office Visits | $108 | $124 | $155 |
| Consultation office high complexity CPT 99245 • Office Visits | $202 | $242 | $281 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $758 | $758 | $758 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $368 | $368 | $368 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $698 | $698 | $698 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $296 | $296 | $296 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $747 | $747 | $747 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $508 | $508 | $508 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $119 | $119 | $119 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $541 | $541 | $541 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $357 | $844 | $1,331 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $50 | $441 | $832 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $120 | $133 | $147 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $88 | $94 | $100 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $124 | $124 | $124 |
| Visual field examination CPT 92083 • Ophthalmology | $62 | $84 | $107 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $26 | $41 | $56 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $44 | $44 | $44 |
| Fundus photography CPT 92250 • Ophthalmology | $36 | $65 | $93 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $50 | $50 | $50 |