| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $77 | $87 | $98 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $118 | $137 | $157 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $101 | $122 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $123 | $136 | $150 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $57 | $61 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $87 | $108 | $130 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $89 | $123 | $157 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $39 | $56 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $115 | $119 | $123 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $111 | $121 | $132 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $90 | $112 | $133 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $49 | $179 | $310 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $49 | $239 | $429 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $44 | $89 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $72 | $131 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $41 | $69 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $33 | $43 | $52 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $59 | $111 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $78 | $99 | $120 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $67 | $85 | $104 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $161 | $223 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $63 | $70 | $78 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $63 | $90 | $117 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $136 | $153 | $171 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $142 | $182 | $222 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $15 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $37 | $46 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $43 | $66 | $88 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $90 | $113 | $125 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $121 | $135 | $149 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $85 | $116 | $147 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $115 | $137 | $159 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $170 | $204 | $222 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $72 | $111 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $86 | $111 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $99 | $111 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $61 | $86 | $111 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $90 | $121 | $136 |
| Consultation office low complexity CPT 99243 • Office Visits | $81 | $120 | $159 |
| Consultation office high complexity CPT 99245 • Office Visits | $188 | $253 | $285 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $509 | $555 | $601 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $31 | $34 | $37 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $984 | $1,057 | $1,130 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $205 | $221 | $237 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $907 | $977 | $1,047 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $416 | $460 | $483 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $196 | $196 | $196 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $623 | $669 | $715 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $454 | $454 | $454 |