| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $120 | $121 | $121 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $183 | $186 | $189 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $71 | $71 | $71 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $65 | $65 | $65 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $83 | $83 | $83 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $55 | $55 | $55 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $102 | $102 | $102 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $109 | $109 | $109 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $132 | $132 | $132 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $64 | $64 | $64 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $67 | $67 | $67 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $94 | $94 | $94 |
| Group psychotherapy CPT 90853 • Mental Health | $22 | $22 | $22 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $122 | $122 | $122 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $111 | $111 | $111 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $128 | $128 | $128 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $360 | $360 | $360 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $417 | $417 | $417 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $102 | $105 | $108 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $143 | $143 | $143 |
| EMG needle each extremity complete CPT 95886 • Neurology | $94 | $94 | $94 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $87 | $87 | $87 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $103 | $105 | $108 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $171 | $171 | $171 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $280 | $280 | $280 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $60 | $60 | $60 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $94 | $94 | $94 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $106 | $111 | $116 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $155 | $173 | $191 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $19 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $47 | $47 | $47 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $76 | $76 | $76 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $17 | $17 | $17 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $152 | $152 | $152 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $71 | $71 | $71 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $112 | $112 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $150 | $151 | $151 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $43 | $43 | $43 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $68 | $68 | $68 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $103 | $103 | $103 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $69 | $69 | $69 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $98 | $99 | $99 |
| Consultation office low complexity CPT 99243 • Office Visits | $54 | $80 | $106 |
| Consultation office high complexity CPT 99245 • Office Visits | $30 | $116 | $201 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $577 | $577 | $577 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $41 | $41 | $41 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,206 | $1,206 | $1,206 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $220 | $220 | $220 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,163 | $1,163 | $1,163 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $513 | $524 | $535 |