| Psychotherapy 60 minutes CPT 90837 • Mental Health | $114 | $142 | $185 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $99 | $106 | $113 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $96 | $115 | $133 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $60 | $64 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $109 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $81 | $120 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $18 | $22 | $25 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $143 | $143 | $143 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $121 | $121 | $121 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $113 | $113 | $113 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $281 | $281 | $281 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $344 | $361 | $379 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $110 | $110 | $110 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $158 | $158 | $158 |
| EMG needle each extremity complete CPT 95886 • Neurology | $47 | $47 | $47 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $38 | $38 | $38 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $62 | $62 | $62 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $134 | $134 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $76 | $76 | $76 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $104 | $104 | $104 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $46 | $58 | $71 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $72 | $98 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $96 | $129 | $163 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $144 | $190 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $13 | $18 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $45 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $53 | $69 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $89 | $129 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $99 | $165 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $79 | $94 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $121 | $123 | $126 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $151 | $168 | $185 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $36 | $41 | $45 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $66 | $70 | $73 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $95 | $99 | $103 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $67 | $71 | $75 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $98 | $121 | $143 |
| Consultation office low complexity CPT 99243 • Office Visits | $113 | $113 | $113 |
| Consultation office high complexity CPT 99245 • Office Visits | $207 | $207 | $207 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $629 | $694 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $47 | $47 | $47 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,207 | $1,207 | $1,207 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $212 | $223 | $233 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,117 | $1,117 | $1,117 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $514 | $514 | $514 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $296 | $301 | $306 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $747 | $756 | $765 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $355 | $456 | $558 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $101 | $110 | $119 |