| Psychotherapy 45 minutes CPT 90834 • Mental Health | $79 | $87 | $95 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $78 | $80 | $83 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $129 | $138 | $147 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $121 | $127 | $133 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $148 | $155 | $162 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $64 | $71 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $76 | $81 | $87 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $100 | $108 | $115 |
| Group psychotherapy CPT 90853 • Mental Health | $19 | $23 | $26 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $127 | $147 | $166 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $116 | $118 | $121 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $116 | $116 | $116 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $295 | $328 | $362 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $386 | $408 | $430 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $46 | $84 | $137 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $72 | $156 | $197 |
| EMG needle each extremity complete CPT 95886 • Neurology | $99 | $105 | $111 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $41 | $61 | $81 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $120 | $128 | $137 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $57 | $100 | $142 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $94 | $107 | $121 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $183 | $199 | $215 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $66 | $70 | $73 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $104 | $109 | $114 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $43 | $89 | $121 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $43 | $123 | $173 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $20 | $20 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $40 | $48 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $52 | $72 | $91 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $43 | $52 | $69 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $127 | $154 | $182 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $85 | $94 | $104 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $120 | $127 | $134 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $23 | $136 | $206 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $44 | $51 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $70 | $75 | $81 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $106 | $114 | $122 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $70 | $76 | $82 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $83 | $98 | $117 |
| Consultation office low complexity CPT 99243 • Office Visits | $43 | $64 | $84 |
| Consultation office high complexity CPT 99245 • Office Visits | $182 | $214 | $234 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $533 | $533 | $533 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $45 | $47 | $50 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,014 | $1,014 | $1,014 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $212 | $212 | $212 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $957 | $957 | $957 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $491 | $628 | $765 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $295 | $324 | $353 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $640 | $640 | $640 |