| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $89 | $100 | $111 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $150 | $160 | $170 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $136 | $141 | $145 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $141 | $159 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $68 | $68 | $68 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $87 | $93 | $99 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $121 | $126 | $130 |
| Group psychotherapy CPT 90853 • Mental Health | $27 | $39 | $52 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $107 | $109 | $111 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $118 | $122 | $132 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $117 | $133 | $149 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $267 | $282 | $297 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $348 | $416 | $484 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $64 | $64 | $64 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $62 | $86 | $128 |
| EMG needle each extremity complete CPT 95886 • Neurology | $78 | $83 | $89 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $66 | $68 | $71 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $41 | $73 | $88 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $106 | $109 | $112 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $104 | $121 | $138 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $146 | $185 | $224 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $39 | $60 | $82 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $66 | $91 | $116 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $125 | $131 | $136 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $129 | $166 | $189 |
| Office visit established patient minimal CPT 99211 • Office Visits | $21 | $23 | $25 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $38 | $44 | $50 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $69 | $75 | $81 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $83 | $101 | $117 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $111 | $134 | $157 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $89 | $117 | $144 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $121 | $134 | $148 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $185 | $198 | $217 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $35 | $63 | $92 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $63 | $79 | $95 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $100 | $106 | $112 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $64 | $78 | $92 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $82 | $99 | $116 |
| Consultation office low complexity CPT 99243 • Office Visits | $85 | $111 | $142 |
| Consultation office high complexity CPT 99245 • Office Visits | $122 | $187 | $242 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $479 | $506 | $534 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $37 | $39 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,105 | $1,140 | $1,174 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $189 | $197 | $205 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $837 | $837 | $837 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $464 | $464 | $464 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $237 | $256 | $275 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $699 | $722 | $744 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $418 | $481 | $543 |