| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $50 | $62 | $73 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $88 | $104 | $120 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $81 | $101 | $121 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $133 | $140 | $147 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $69 | $69 | $70 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $61 | $83 | $104 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $91 | $107 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $34 | $46 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $192 | $192 | $192 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $45 | $129 | $214 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $128 | $128 | $128 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $247 | $247 | $247 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $240 | $358 | $476 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $71 | $113 | $134 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $45 | $144 | $193 |
| EMG needle each extremity complete CPT 95886 • Neurology | $35 | $35 | $35 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $70 | $88 | $107 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $38 | $103 | $137 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $58 | $58 | $58 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $59 | $137 | $215 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $223 | $283 | $342 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $35 | $35 | $35 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $76 | $76 | $76 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $116 | $148 | $183 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $144 | $200 | $228 |
| Office visit established patient minimal CPT 99211 • Office Visits | $14 | $14 | $14 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $31 | $31 | $31 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $36 | $36 | $36 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $75 | $104 | $118 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $101 | $101 | $101 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $71 | $71 | $71 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $96 | $96 | $96 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $20 | $81 | $141 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $28 | $28 | $28 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $50 | $50 | $50 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $72 | $72 | $72 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $50 | $50 | $50 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $74 | $93 | $111 |
| Consultation office low complexity CPT 99243 • Office Visits | $45 | $85 | $125 |
| Consultation office high complexity CPT 99245 • Office Visits | $45 | $89 | $134 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $527 | $527 | $527 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $48 | $48 | $48 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,029 | $1,029 | $1,029 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $45 | $175 | $305 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,066 | $1,066 | $1,066 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $554 | $599 | $645 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $45 | $138 | $230 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $954 | $954 | $954 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $688 | $688 | $688 |