| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $75 | $89 | $103 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $122 | $122 | $122 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $95 | $95 | $95 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $96 | $96 | $96 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $59 | $59 | $59 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $67 | $67 | $67 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $85 | $85 | $85 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $23 | $23 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $123 | $123 | $123 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $115 | $144 | $172 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $88 | $88 | $88 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $55 | $56 | $57 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $410 | $410 | $410 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $52 | $78 | $104 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $55 | $65 | $75 |
| EMG needle each extremity complete CPT 95886 • Neurology | $45 | $45 | $45 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $39 | $39 | $39 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $54 | $58 | $63 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $64 | $64 | $64 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $168 | $168 | $168 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $167 | $167 | $167 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $44 | $63 | $81 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $67 | $92 | $117 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $106 | $115 | $131 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $174 | $181 | $187 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $11 | $15 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $44 | $59 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $45 | $70 | $95 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $71 | $90 | $101 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $150 | $170 | $191 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $97 | $97 | $97 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $107 | $126 | $146 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $142 | $191 | $215 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $34 | $39 | $44 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $68 | $73 | $77 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $99 | $105 | $110 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $64 | $71 | $78 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $70 | $99 | $114 |
| Consultation office low complexity CPT 99243 • Office Visits | $93 | $119 | $145 |
| Consultation office high complexity CPT 99245 • Office Visits | $197 | $229 | $261 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $541 | $541 | $541 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $40 | $45 | $49 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,037 | $1,037 | $1,037 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $163 | $163 | $163 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $899 | $899 | $899 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $441 | $517 | $594 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $285 | $285 | $285 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $611 | $611 | $611 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $446 | $446 | $446 |