| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $83 | $86 | $88 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $109 | $118 | $126 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $110 | $123 | $136 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $132 | $155 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $63 | $69 | $75 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $85 | $94 | $103 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $106 | $112 | $118 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $32 | $39 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $50 | $84 | $119 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $83 | $129 | $174 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $190 | $190 | $190 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $57 | $57 | $57 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $320 | $320 | $320 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $51 | $76 | $102 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $82 | $125 | $147 |
| EMG needle each extremity complete CPT 95886 • Neurology | $40 | $40 | $40 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $90 | $90 | $90 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $66 | $84 | $102 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $57 | $64 | $70 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $182 | $182 | $182 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $97 | $97 | $97 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $107 | $107 | $107 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $50 | $103 | $156 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $50 | $118 | $240 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $182 | $242 | $301 |
| Office visit established patient minimal CPT 99211 • Office Visits | $28 | $39 | $50 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $50 | $56 | $62 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $50 | $77 | $105 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $50 | $85 | $155 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $50 | $130 | $209 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $50 | $101 | $151 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $50 | $127 | $203 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $50 | $187 | $300 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $42 | $50 | $59 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $50 | $78 | $107 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $50 | $102 | $154 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $50 | $78 | $106 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $83 | $120 | $157 |
| Consultation office low complexity CPT 99243 • Office Visits | $57 | $102 | $142 |
| Consultation office high complexity CPT 99245 • Office Visits | $50 | $155 | $282 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $50 | $460 | $870 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $50 | $74 | $98 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,407 | $1,565 | $1,722 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $388 | $388 | $388 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $50 | $721 | $1,391 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $604 | $764 | $924 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $421 | $421 | $421 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,154 | $1,154 | $1,154 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $925 | $925 | $925 |