| Psychotherapy 60 minutes CPT 90837 • Mental Health | $106 | $106 | $107 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $91 | $91 | $91 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $111 | $111 | $111 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $53 | $53 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $86 | $89 | $93 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $88 | $93 | $97 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $21 | $21 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $127 | $127 | $127 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $104 | $104 | $104 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $99 | $99 | $99 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $48 | $48 | $48 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $283 | $283 | $283 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $56 | $56 | $56 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $141 | $141 | $141 |
| EMG needle each extremity complete CPT 95886 • Neurology | $35 | $35 | $35 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $34 | $34 | $34 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $46 | $46 | $46 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $121 | $121 | $121 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $90 | $90 | $90 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $86 | $86 | $86 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $60 | $60 | $60 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $87 | $87 | $87 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $106 | $106 | $106 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $168 | $168 | $168 |
| Office visit established patient minimal CPT 99211 • Office Visits | $16 | $16 | $16 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $21 | $31 | $40 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $55 | $57 | $59 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $87 | $87 | $87 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $118 | $118 | $118 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $83 | $83 | $83 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $112 | $112 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $167 | $167 | $167 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $32 | $32 | $32 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $59 | $59 | $59 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $86 | $86 | $86 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $60 | $60 | $60 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $88 | $88 | $88 |
| Consultation office low complexity CPT 99243 • Office Visits | $100 | $100 | $100 |
| Consultation office high complexity CPT 99245 • Office Visits | $183 | $183 | $183 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $492 | $492 | $492 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $44 | $44 | $44 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $968 | $968 | $968 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $199 | $199 | $199 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $891 | $891 | $891 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $523 | $523 | $523 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $239 | $239 | $239 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $649 | $649 | $649 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $522 | $522 | $522 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $83 | $83 | $83 |