| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $143 | $153 | $163 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $69 | $70 | $71 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $109 | $109 | $109 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $97 | $105 | $114 |
| Group psychotherapy CPT 90853 • Mental Health | $26 | $26 | $27 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $34 | $99 | $164 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $24 | $24 | $24 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $135 | $135 | $136 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $126 | $189 | $252 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $214 | $242 | $271 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $38 | $64 | $90 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $46 | $89 | $131 |
| EMG needle each extremity complete CPT 95886 • Neurology | $49 | $73 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $104 | $104 | $105 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $65 | $97 | $129 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $72 | $114 | $155 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $102 | $152 | $203 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $333 | $333 | $334 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $9 | $33 | $57 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $71 | $77 | $83 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $85 | $106 | $127 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $24 | $77 | $130 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $11 | $16 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $5 | $18 | $32 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $40 | $47 | $53 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $7 | $40 | $73 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $38 | $68 | $98 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $78 | $78 | $79 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $91 | $99 | $107 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $79 | $119 | $158 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $5 | $18 | $32 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $50 | $54 | $58 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $71 | $77 | $83 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $9 | $33 | $58 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $85 | $85 | $85 |
| Consultation office low complexity CPT 99243 • Office Visits | $84 | $84 | $85 |
| Consultation office high complexity CPT 99245 • Office Visits | $102 | $152 | $203 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $459 | $480 | $501 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $38 | $51 | $65 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,089 | $1,089 | $1,089 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $32 | $32 | $32 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,091 | $1,091 | $1,091 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $408 | $495 | $582 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $378 | $378 | $378 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $981 | $981 | $981 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $34 | $34 | $34 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $201 | $201 | $201 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $296 | $296 | $296 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $309 | $463 | $617 |