| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $115 | $115 | $115 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $157 | $175 | $184 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $144 | $144 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $176 | $176 | $176 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $81 | $90 | $95 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $150 | $150 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $150 | $150 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $58 | $71 | $77 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $123 | $1,091 | $2,502 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $131 | $1,182 | $1,663 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $133 | $876 | $1,615 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $250 | $399 | $616 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $429 | $527 | $722 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $111 | $111 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $81 | $140 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $97 | $97 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $89 | $89 | $89 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $89 | $111 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $134 | $134 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $175 | $175 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $285 | $285 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $70 | $70 | $70 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $109 | $109 | $109 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $81 | $135 | $163 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $215 | $215 | $216 |
| Office visit established patient minimal CPT 99211 • Office Visits | $30 | $30 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $54 | $55 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $75 | $97 | $148 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $62 | $109 | $125 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $132 | $161 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $170 | $170 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $170 | $170 | $170 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $198 | $198 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $110 | $116 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $110 | $116 | $129 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $110 | $116 | $129 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $110 | $116 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $110 | $120 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $170 | $170 | $171 |
| Consultation office high complexity CPT 99245 • Office Visits | $107 | $217 | $254 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $601 | $1,999 | $4,945 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $28 | $587 | $1,615 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,130 | $3,321 | $7,954 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $237 | $1,321 | $2,502 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,047 | $2,136 | $5,668 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $1,906 | $5,668 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $288 | $1,279 | $2,502 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $715 | $2,379 | $5,668 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $521 | $2,197 | $5,668 |