| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $94 | $99 | $104 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $144 | $157 | $170 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $166 | $167 | $169 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $200 | $224 | $248 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $72 | $100 | $128 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $131 | $133 | $136 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $160 | $163 | $166 |
| Group psychotherapy CPT 90853 • Mental Health | $46 | $55 | $63 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $9 | $9 | $9 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $281 | $344 | $407 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $138 | $188 | $239 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $126 | $156 | $185 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $274 | $339 | $372 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $312 | $368 | $425 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $124 | $132 | $146 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $168 | $172 | $174 |
| EMG needle each extremity complete CPT 95886 • Neurology | $91 | $117 | $143 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $96 | $125 | $154 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $25 | $113 | $191 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $228 | $228 | $228 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $196 | $248 | $300 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $292 | $392 | $491 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $66 | $116 | $165 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $101 | $178 | $255 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $12 | $172 | $310 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $162 | $305 | $505 |
| Office visit established patient minimal CPT 99211 • Office Visits | $31 | $42 | $52 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $34 | $81 | $128 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $76 | $141 | $207 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $33 | $104 | $161 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $132 | $272 | $412 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $95 | $162 | $228 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $158 | $233 | $307 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $220 | $321 | $451 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $47 | $68 | $88 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $78 | $120 | $162 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $111 | $172 | $233 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $101 | $132 | $163 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $137 | $177 | $238 |
| Consultation office low complexity CPT 99243 • Office Visits | $172 | $190 | $217 |
| Consultation office high complexity CPT 99245 • Office Visits | $316 | $380 | $499 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $467 | $602 | $736 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $33 | $64 | $90 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,179 | $1,331 | $1,483 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $297 | $398 | $498 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,206 | $1,409 | $1,612 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $645 | $674 | $732 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $523 | $523 | $523 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,253 | $1,253 | $1,253 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $993 | $993 | $993 |