| Psychotherapy 60 minutes CPT 90837 • Mental Health | $111 | $126 | $142 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $102 | $102 | $102 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $150 | $150 | $150 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $78 | $78 | $78 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $80 | $80 | $80 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $78 | $85 | $98 |
| Group psychotherapy CPT 90853 • Mental Health | $27 | $27 | $27 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $115 | $115 | $115 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $125 | $125 | $125 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $98 | $98 | $98 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $103 | $103 | $103 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $131 | $131 | $131 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $45 | $45 | $45 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $24 | $24 | $24 |
| EMG needle each extremity complete CPT 95886 • Neurology | $36 | $36 | $36 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $86 | $86 | $86 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $46 | $46 | $46 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $128 | $128 | $128 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $72 | $72 | $72 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $106 | $106 | $106 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $55 | $57 | $61 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $84 | $87 | $91 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $93 | $129 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $150 | $176 | $213 |
| Office visit established patient minimal CPT 99211 • Office Visits | $20 | $25 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $35 | $40 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $49 | $50 | $50 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $63 | $83 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $113 | $119 | $125 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $65 | $65 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $107 | $107 | $107 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $149 | $149 | $149 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $32 | $32 | $32 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $53 | $53 | $53 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $75 | $75 | $75 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $67 | $67 | $67 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $91 | $91 | $91 |
| Consultation office low complexity CPT 99243 • Office Visits | $115 | $115 | $115 |
| Consultation office high complexity CPT 99245 • Office Visits | $211 | $211 | $211 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $517 | $517 | $517 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $57 | $57 | $57 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $938 | $938 | $938 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $282 | $282 | $282 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $847 | $847 | $847 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $454 | $454 | $454 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $333 | $333 | $333 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $817 | $817 | $817 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $614 | $614 | $614 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $181 | $181 | $181 |