| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $73 | $79 | $86 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $117 | $128 | $138 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $96 | $116 | $135 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $87 | $125 | $163 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $54 | $63 | $71 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $68 | $72 | $77 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $95 | $114 |
| Group psychotherapy CPT 90853 • Mental Health | $17 | $18 | $20 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $164 | $177 | $190 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $142 | $152 | $162 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $135 | $149 | $163 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $252 | $261 | $269 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $271 | $276 | $281 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $51 | $88 | $124 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $58 | $133 | $171 |
| EMG needle each extremity complete CPT 95886 • Neurology | $32 | $64 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $31 | $67 | $104 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $86 | $111 | $129 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $48 | $52 | $55 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $62 | $133 | $203 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $84 | $209 | $333 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $48 | $53 | $57 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $75 | $79 | $83 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $86 | $107 | $128 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $73 | $115 |
| Office visit established patient minimal CPT 99211 • Office Visits | $16 | $16 | $17 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $18 | $25 | $32 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $35 | $44 | $53 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $54 | $84 | $99 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $98 | $100 | $102 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $69 | $74 | $78 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $94 | $100 | $107 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $97 | $135 | $158 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $27 | $29 | $32 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $49 | $54 | $58 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $71 | $77 | $83 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $47 | $52 | $58 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $73 | $79 | $85 |
| Consultation office low complexity CPT 99243 • Office Visits | $86 | $116 | $170 |
| Consultation office high complexity CPT 99245 • Office Visits | $131 | $167 | $203 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $402 | $451 | $501 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $27 | $46 | $65 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $711 | $711 | $711 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $33 | $146 | $260 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $677 | $884 | $1,091 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $531 | $571 | $601 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $219 | $219 | $219 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $453 | $584 | $715 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $333 | $333 | $333 |