| Psychotherapy 60 minutes CPT 90837 • Mental Health | $111 | $128 | $146 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $143 | $143 | $143 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $213 | $213 | $213 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $110 | $110 | $110 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $99 | $99 | $99 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $123 | $123 | $123 |
| Group psychotherapy CPT 90853 • Mental Health | $33 | $33 | $33 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $82 | $82 | $82 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $139 | $139 | $139 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $146 | $146 | $146 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $61 | $61 | $61 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $61 | $61 | $61 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $56 | $56 | $56 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $41 | $41 | $41 |
| EMG needle each extremity complete CPT 95886 • Neurology | $111 | $111 | $111 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $120 | $120 | $120 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $84 | $84 | $84 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $101 | $101 | $101 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $234 | $234 | $234 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $240 | $240 | $240 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $66 | $69 | $71 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $95 | $99 | $104 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $96 | $111 | $126 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $164 | $195 | $225 |
| Office visit established patient minimal CPT 99211 • Office Visits | $20 | $21 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $42 | $49 | $56 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $48 | $49 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $103 | $116 | $129 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $140 | $154 | $168 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $76 | $88 | $99 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $96 | $116 | $136 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $128 | $164 | $200 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $41 | $42 | $43 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $74 | $86 | $99 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $103 | $105 | $106 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $75 | $75 | $75 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $106 | $107 | $108 |
| Consultation office low complexity CPT 99243 • Office Visits | $107 | $107 | $107 |
| Consultation office high complexity CPT 99245 • Office Visits | $211 | $211 | $211 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $663 | $663 | $663 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $51 | $51 | $51 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,208 | $1,208 | $1,208 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $233 | $258 | $283 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,105 | $1,105 | $1,105 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $588 | $588 | $588 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $426 | $426 | $426 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,012 | $1,012 | $1,012 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $461 | $591 | $720 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $103 | $155 | $207 |