| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $111 | $115 | $119 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $108 | $177 | $245 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $135 | $182 | $226 |
| Group psychotherapy CPT 90853 • Mental Health | $41 | $44 | $47 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $7 | $8 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $225 | $277 | $328 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $249 | $260 | $273 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $149 | $208 | $262 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $380 | $573 | $737 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $442 | $644 | $846 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $65 | $174 | $284 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $82 | $82 | $82 |
| EMG needle each extremity complete CPT 95886 • Neurology | $117 | $153 | $189 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $126 | $165 | $202 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $86 | $213 | $292 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $97 | $151 | $254 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $108 | $285 | $410 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $244 | $458 | $621 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $65 | $116 | $155 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $99 | $161 | $224 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $154 | $216 | $280 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $165 | $304 | $484 |
| Office visit established patient minimal CPT 99211 • Office Visits | $26 | $46 | $57 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $55 | $67 | $90 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $66 | $114 | $152 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $138 | $191 | $251 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $186 | $244 | $302 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $130 | $173 | $213 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $176 | $232 | $288 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $258 | $388 | $480 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $50 | $90 | $130 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $92 | $123 | $152 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $132 | $178 | $220 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $92 | $123 | $153 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $137 | $206 | $254 |
| Consultation office low complexity CPT 99243 • Office Visits | $124 | $206 | $287 |
| Consultation office high complexity CPT 99245 • Office Visits | $287 | $427 | $525 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $883 | $1,073 | $1,262 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $98 | $120 | $143 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,621 | $1,786 | $1,951 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $483 | $506 | $529 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,686 | $1,947 | $2,283 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $875 | $875 | $875 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $364 | $464 | $563 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,505 | $1,687 | $1,868 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $44 | $761 | $1,154 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $166 | $270 | $339 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $2,270 | $2,427 | $2,693 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $721 | $937 | $1,080 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $1,489 | $1,655 | $1,838 |