| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $84 | $99 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $138 | $138 | $138 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $128 | $141 | $159 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $114 | $139 | $164 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $63 | $72 | $85 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $84 | $121 | $147 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $111 | $130 | $165 |
| Group psychotherapy CPT 90853 • Mental Health | $40 | $55 | $69 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $123 | $123 | $123 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $132 | $132 | $132 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $134 | $135 | $137 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $367 | $396 | $425 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $498 | $498 | $498 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $127 | $127 | $128 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $161 | $173 | $185 |
| EMG needle each extremity complete CPT 95886 • Neurology | $112 | $112 | $112 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $90 | $96 | $102 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $127 | $127 | $128 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $134 | $134 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $175 | $188 | $200 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $285 | $305 | $324 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $68 | $73 | $80 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $113 | $119 | $124 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $138 | $153 | $163 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $144 | $175 | $204 |
| Office visit established patient minimal CPT 99211 • Office Visits | $22 | $23 | $24 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $51 | $55 | $60 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $83 | $90 | $100 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $104 | $115 | $125 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $145 | $155 | $165 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $78 | $113 | $164 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $122 | $143 | $164 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $143 | $179 | $214 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $55 | $68 | $82 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $64 | $72 | $82 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $100 | $114 | $131 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $10 | $53 | $82 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $96 | $112 | $126 |
| Consultation office low complexity CPT 99243 • Office Visits | $107 | $119 | $133 |
| Consultation office high complexity CPT 99245 • Office Visits | $21 | $144 | $238 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $589 | $589 | $589 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $47 | $47 | $47 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $896 | $896 | $896 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,048 | $1,185 | $1,322 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $546 | $610 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $522 | $522 | $522 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $109 | $123 | $137 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,142 | $1,142 | $1,142 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $495 | $560 | $625 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $412 | $412 | $412 |