| Psychotherapy 60 minutes CPT 90837 • Mental Health | $113 | $115 | $118 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $92 | $92 | $92 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $123 | $123 | $123 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $53 | $53 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $87 | $87 | $87 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $90 | $90 | $90 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $23 | $23 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $53 | $53 | $53 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $111 | $111 | $111 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $110 | $110 | $110 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $296 | $296 | $296 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $351 | $351 | $351 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $54 | $54 | $54 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $72 | $72 | $72 |
| EMG needle each extremity complete CPT 95886 • Neurology | $41 | $41 | $41 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $33 | $33 | $33 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $57 | $57 | $57 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $52 | $52 | $52 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $92 | $92 | $92 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $91 | $91 | $91 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $63 | $67 | $72 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $89 | $100 | $111 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $136 | $146 | $155 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $172 | $173 | $175 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $19 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $37 | $41 | $45 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $62 | $73 | $85 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $90 | $90 | $90 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $94 | $131 | $168 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $76 | $81 | $85 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $113 | $114 | $115 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $128 | $149 | $170 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $47 | $61 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $58 | $59 | $61 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $95 | $103 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $61 | $68 | $75 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $90 | $98 | $106 |
| Consultation office low complexity CPT 99243 • Office Visits | $103 | $103 | $103 |
| Consultation office high complexity CPT 99245 • Office Visits | $188 | $188 | $188 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $455 | $455 | $455 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $38 | $38 | $38 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $984 | $984 | $984 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $205 | $219 | $233 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $907 | $907 | $907 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $416 | $416 | $416 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $196 | $196 | $196 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $623 | $623 | $623 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $454 | $458 | $461 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $84 | $94 | $103 |