| Psychotherapy 60 minutes CPT 90837 • Mental Health | $90 | $101 | $112 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $110 | $110 | $110 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $168 | $168 | $168 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $87 | $87 | $87 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $83 | $83 | $83 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $103 | $103 | $103 |
| 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 | $137 | $137 | $137 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $146 | $146 | $146 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $101 | $101 | $101 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $173 | $173 | $173 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $195 | $195 | $195 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $78 | $78 | $78 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $39 | $39 | $39 |
| EMG needle each extremity complete CPT 95886 • Neurology | $40 | $40 | $40 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $52 | $52 | $52 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $66 | $66 | $66 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $61 | $61 | $61 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $105 | $105 | $105 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $302 | $302 | $302 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $20 | $57 | $73 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $88 | $97 | $112 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $117 | $148 | $169 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $31 | $140 | $222 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $23 | $31 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $23 | $49 | $59 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $31 | $69 | $91 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $31 | $71 | $129 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $125 | $146 | $165 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $71 | $81 | $90 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $96 | $109 | $122 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $128 | $154 | $180 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $36 | $39 | $43 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $65 | $69 | $73 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $93 | $93 | $94 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $64 | $102 | $134 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $94 | $100 | $106 |
| Consultation office low complexity CPT 99243 • Office Visits | $118 | $118 | $118 |
| Consultation office high complexity CPT 99245 • Office Visits | $214 | $214 | $214 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $596 | $596 | $596 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $58 | $58 | $58 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $989 | $989 | $989 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $233 | $260 | $287 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,002 | $1,002 | $1,002 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $527 | $527 | $527 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $347 | $347 | $347 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $908 | $908 | $908 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $461 | $557 | $653 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $103 | $141 | $179 |