| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $86 | $94 | $98 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $149 | $163 | $184 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $127 | $138 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $140 | $164 | $176 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $74 | $88 | $95 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $108 | $128 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $113 | $138 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $27 | $57 | $77 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $30 | $43 | $68 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $102 | $145 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $145 | $145 | $145 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $328 | $328 | $328 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $63 | $63 | $63 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $111 | $120 | $129 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $89 | $137 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $97 | $99 | $104 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $89 | $94 | $103 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $76 | $130 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $55 | $86 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $89 | $146 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $326 | $326 | $326 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $54 | $65 | $70 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $109 | $111 | $115 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $139 | $145 | $164 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $161 | $199 | $222 |
| Office visit established patient minimal CPT 99211 • Office Visits | $25 | $28 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $49 | $52 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $55 | $68 | $75 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $85 | $110 | $125 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $156 | $169 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $109 | $150 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $131 | $136 | $147 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $198 | $203 | $216 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $42 | $87 | $110 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $77 | $99 | $110 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $99 | $103 | $111 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $78 | $99 | $110 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $110 | $116 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $104 | $147 | $171 |
| Consultation office high complexity CPT 99245 • Office Visits | $207 | $242 | $255 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $30 | $216 | $589 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $36 | $49 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,130 | $1,176 | $1,267 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $30 | $108 | $265 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $411 | $1,172 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $511 | $539 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $30 | $127 | $322 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $30 | $417 | $803 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $308 | $585 |