| Psychotherapy 60 minutes CPT 90837 • Mental Health | $105 | $123 | $141 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $121 | $121 | $121 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $133 | $170 | $207 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $71 | $71 | $71 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $104 | $115 | $127 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $107 | $138 | $169 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $29 | $30 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $9 | $9 | $9 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $65 | $65 | $65 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $277 | $304 | $331 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $138 | $200 | $262 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $372 | $432 | $492 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $382 | $465 | $548 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $93 | $93 | $93 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $236 | $236 | $236 |
| EMG needle each extremity complete CPT 95886 • Neurology | $95 | $129 | $146 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $56 | $107 | $158 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $55 | $148 | $195 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $58 | $114 | $149 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $176 | $226 | $308 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $153 | $315 | $507 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $52 | $86 | $109 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $141 | $155 | $166 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $56 | $148 | $230 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $56 | $195 | $325 |
| Office visit established patient minimal CPT 99211 • Office Visits | $23 | $45 | $83 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $71 | $78 | $83 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $52 | $101 | $145 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $56 | $85 | $119 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $211 | $230 | $252 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $78 | $134 | $195 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $153 | $185 | $211 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $166 | $248 | $309 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $47 | $81 | $124 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $64 | $101 | $124 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $159 | $184 | $217 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $91 | $108 | $124 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $81 | $126 | $161 |
| Consultation office low complexity CPT 99243 • Office Visits | $126 | $126 | $126 |
| Consultation office high complexity CPT 99245 • Office Visits | $230 | $230 | $230 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $561 | $753 | $944 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $47 | $75 | $104 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,956 | $1,956 | $1,956 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $406 | $430 | $455 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,799 | $1,799 | $1,799 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $514 | $514 | $514 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $306 | $306 | $306 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $83 | $484 | $765 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $553 | $1,010 | $1,312 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $83 | $107 | $136 |