| Psychotherapy 60 minutes CPT 90837 • Mental Health | $128 | $142 | $156 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $116 | $125 | $133 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $162 | $162 | $162 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $78 | $78 | $78 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $74 | $94 | $114 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $103 | $110 | $118 |
| Group psychotherapy CPT 90853 • Mental Health | $31 | $31 | $31 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $4 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $158 | $158 | $158 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $100 | $116 | $133 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $99 | $125 | $152 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $65 | $159 | $252 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $486 | $486 | $486 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $76 | $76 | $76 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $100 | $100 | $100 |
| EMG needle each extremity complete CPT 95886 • Neurology | $52 | $52 | $52 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $108 | $108 | $108 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $137 | $137 | $137 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $91 | $91 | $91 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $215 | $215 | $215 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $214 | $214 | $214 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $59 | $72 | $85 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $77 | $99 | $120 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $127 | $154 | $184 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $161 | $180 | $190 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $16 | $21 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $29 | $34 | $39 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $63 | $73 | $84 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $99 | $107 | $121 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $125 | $129 | $133 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $92 | $103 | $114 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $107 | $131 | $154 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $157 | $180 | $227 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $44 | $61 | $78 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $49 | $65 | $81 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $71 | $94 | $117 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $78 | $80 | $82 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $84 | $96 | $120 |
| Consultation office low complexity CPT 99243 • Office Visits | $139 | $139 | $139 |
| Consultation office high complexity CPT 99245 • Office Visits | $253 | $253 | $253 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $617 | $617 | $617 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $52 | $52 | $52 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,328 | $1,328 | $1,328 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $233 | $233 | $233 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,228 | $1,228 | $1,228 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $565 | $565 | $565 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $337 | $337 | $337 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $842 | $842 | $842 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $613 | $613 | $613 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $111 | $111 | $111 |