| Psychotherapy 60 minutes CPT 90837 • Mental Health | $245 | $245 | $245 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $213 | $213 | $213 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $258 | $258 | $258 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $123 | $123 | $123 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $198 | $198 | $198 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $207 | $207 | $207 |
| Group psychotherapy CPT 90853 • Mental Health | $49 | $49 | $49 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $10 | $10 | $10 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $153 | $184 | $216 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $171 | $197 | $224 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $206 | $206 | $206 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $666 | $666 | $666 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $759 | $759 | $759 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $121 | $126 | $131 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $48 | $107 | $166 |
| EMG needle each extremity complete CPT 95886 • Neurology | $110 | $141 | $172 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $80 | $80 | $80 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $148 | $177 | $236 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $78 | $117 | $156 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $208 | $221 | $233 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $364 | $374 | $384 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $86 | $106 | $126 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $183 | $203 | $224 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $24 | $206 | $315 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $245 | $300 | $351 |
| Office visit established patient minimal CPT 99211 • Office Visits | $28 | $31 | $33 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $73 | $80 | $87 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $87 | $105 | $122 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $182 | $187 | $190 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $169 | $180 | $191 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $119 | $146 | $174 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $166 | $201 | $235 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $242 | $283 | $348 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $67 | $72 | $76 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $88 | $106 | $124 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $126 | $153 | $179 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $91 | $108 | $125 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $132 | $158 | $184 |
| Consultation office low complexity CPT 99243 • Office Visits | $24 | $117 | $211 |
| Consultation office high complexity CPT 99245 • Office Visits | $311 | $348 | $384 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $823 | $987 | $1,151 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $84 | $107 | $131 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $2,263 | $2,263 | $2,263 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $353 | $498 | $642 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,358 | $1,821 | $2,283 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $719 | $970 | $1,220 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $24 | $292 | $560 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,249 | $1,383 | $1,518 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $890 | $1,055 | $1,220 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $191 | $196 | $201 |