| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $84 | $95 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $116 | $133 | $150 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $108 | $121 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $111 | $143 | $176 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $65 | $80 | $96 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $74 | $106 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $98 | $133 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $41 | $43 | $44 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $6 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $131 | $131 | $131 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $70 | $111 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $134 | $156 | $179 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $340 | $353 | $367 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $404 | $404 | $404 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $92 | $108 | $123 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $161 | $203 | $278 |
| EMG needle each extremity complete CPT 95886 • Neurology | $82 | $82 | $82 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $90 | $122 | $154 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $52 | $87 | $122 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $55 | $98 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $63 | $119 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $106 | $196 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $71 | $76 | $82 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $82 | $82 | $82 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $136 | $188 | $264 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $171 | $188 | $200 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $24 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $42 | $48 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $39 | $48 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $76 | $116 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $111 | $111 | $111 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $63 | $95 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $128 | $128 | $128 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $188 | $193 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $37 | $37 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $73 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $99 | $168 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $43 | $56 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $82 | $106 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $88 | $145 |
| Consultation office high complexity CPT 99245 • Office Visits | $172 | $214 | $255 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $576 | $576 | $576 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $35 | $35 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $905 | $905 | $905 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $335 | $335 | $335 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $526 | $1,021 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $647 | $811 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $280 | $280 | $280 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $700 | $803 | $906 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $323 | $521 |