| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $68 | $68 | $68 |
| Interactive complexity add-on CPT 90785 • Mental Health | $4 | $4 | $4 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $132 | $153 | $176 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $110 | $110 | $110 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $55 | $55 | $55 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $36 | $36 | $36 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $65 | $65 | $65 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $60 | $60 | $60 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $98 | $112 | $126 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $96 | $96 | $96 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $151 | $151 | $151 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $78 | $78 | $78 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $77 | $77 | $77 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $93 | $97 | $100 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $25 | $25 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $64 | $64 | $64 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $117 | $117 | $117 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $125 | $125 | $125 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $48 | $48 | $48 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $162 | $162 | $162 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $35 | $35 | $35 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $91 | $91 | $91 |
| EMG needle each extremity complete CPT 95886 • Neurology | $42 | $42 | $42 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $82 | $82 | $82 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $57 | $57 | $57 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $53 | $53 | $53 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $160 | $160 | $160 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $100 | $100 | $100 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $56 | $60 | $62 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $84 | $90 | $96 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $60 | $119 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $106 | $162 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $26 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $21 | $33 | $49 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $51 | $78 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $44 | $72 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $83 | $119 | $154 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $60 | $60 | $60 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $100 | $100 | $100 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $139 | $139 | $139 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $30 | $30 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $49 | $49 | $49 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $70 | $70 | $70 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $63 | $63 | $63 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $86 | $86 | $86 |
| Consultation office straightforward CPT 99241 • Office Visits | $32 | $32 | $32 |
| Consultation office low complexity CPT 99243 • Office Visits | $105 | $105 | $105 |
| Consultation office high complexity CPT 99245 • Office Visits | $195 | $195 | $195 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $373 | $373 | $373 |