| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $71 | $71 | $71 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $84 | $84 | $84 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $90 | $90 | $90 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $125 | $125 | $125 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $119 | $119 | $119 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $144 | $144 | $144 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $63 | $63 | $63 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $101 | $101 | $101 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $88 | $88 | $88 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $28 | $28 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $189 | $194 | $199 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $160 | $168 | $177 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $149 | $176 | $204 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $290 | $290 | $290 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $478 | $478 | $478 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $77 | $77 | $77 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $167 | $167 | $167 |
| EMG needle each extremity complete CPT 95886 • Neurology | $94 | $104 | $114 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $93 | $93 | $93 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $67 | $67 | $67 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $70 | $124 | $160 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $104 | $104 | $104 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $108 | $263 | $340 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $89 | $90 | $92 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $33 | $62 | $90 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $33 | $114 | $165 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $33 | $171 | $245 |
| Office visit established patient minimal CPT 99211 • Office Visits | $27 | $28 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $53 | $63 | $71 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $33 | $46 | $73 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $33 | $53 | $94 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $33 | $103 | $172 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $121 | $121 | $121 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $164 | $164 | $164 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $198 | $198 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $38 | $41 | $43 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $80 | $83 | $86 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $125 | $125 | $125 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $87 | $87 | $87 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $105 | $105 | $105 |
| Consultation office low complexity CPT 99243 • Office Visits | $146 | $146 | $146 |
| Consultation office high complexity CPT 99245 • Office Visits | $268 | $268 | $268 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $839 | $885 | $932 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $51 | $55 | $59 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,620 | $1,690 | $1,760 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $284 | $296 | $308 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,238 | $1,436 | $1,633 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $647 | $700 | $754 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $408 | $429 | $451 |