| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $62 | $78 | $101 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $115 | $117 | $120 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $94 | $123 | $137 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $128 | $180 | $233 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $65 | $66 | $67 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $84 | $116 | $164 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $91 | $105 | $121 |
| Group psychotherapy CPT 90853 • Mental Health | $18 | $36 | $45 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $0 | $4 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $29 | $42 | $55 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $88 | $139 | $191 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $11 | $114 | $218 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $316 | $330 | $343 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $45 | $247 | $448 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $59 | $60 | $62 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $72 | $139 | $172 |
| EMG needle each extremity complete CPT 95886 • Neurology | $52 | $67 | $82 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $67 | $80 | $94 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $23 | $68 | $114 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $62 | $97 | $131 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $72 | $128 | $183 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $59 | $112 | $165 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $20 | $43 | $66 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $73 | $86 | $100 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $54 | $98 | $142 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $22 | $178 | $333 |
| Office visit established patient minimal CPT 99211 • Office Visits | $1 | $4 | $7 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $3 | $11 | $20 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $12 | $66 | $120 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $116 | $136 | $174 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $44 | $78 | $111 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $12 | $50 | $88 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $54 | $79 | $105 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $115 | $145 | $175 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $37 | $43 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $63 | $66 | $70 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $8 | $53 | $97 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $29 | $73 | $117 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $77 | $124 | $172 |
| Consultation office low complexity CPT 99243 • Office Visits | $8 | $38 | $74 |
| Consultation office high complexity CPT 99245 • Office Visits | $22 | $97 | $172 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $477 | $557 | $637 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $28 | $35 | $42 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $974 | $1,424 | $1,906 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $121 | $228 | $335 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $969 | $1,366 | $1,764 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $466 | $468 | $470 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $58 | $271 | $484 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $680 | $690 | $700 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $128 | $301 | $474 |