| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $84 | $100 | $115 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $129 | $134 | $138 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $83 | $109 | $136 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $111 | $144 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $63 | $64 | $65 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $94 | $97 | $100 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $98 | $110 | $121 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $34 | $44 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $111 | $169 | $226 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $118 | $154 | $191 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $103 | $110 | $117 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $93 | $195 | $297 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $331 | $340 | $348 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $63 | $95 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $83 | $113 | $128 |
| EMG needle each extremity complete CPT 95886 • Neurology | $48 | $63 | $78 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $71 | $79 | $88 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $87 | $88 | $88 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $131 | $131 | $131 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $138 | $224 | $309 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $224 | $254 | $284 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $58 | $70 | $82 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $71 | $93 | $116 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $13 | $91 | $162 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $189 | $261 | $333 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $21 | $25 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $42 | $46 | $50 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $39 | $60 | $81 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $10 | $70 | $117 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $111 | $134 | $157 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $78 | $111 | $144 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $148 | $185 | $222 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $155 | $195 | $217 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $61 | $92 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $95 | $105 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $97 | $104 | $112 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $68 | $80 | $92 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $100 | $115 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $156 | $157 | $157 |
| Consultation office high complexity CPT 99245 • Office Visits | $172 | $207 | $242 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $479 | $736 | $994 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $39 | $49 | $59 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,104 | $1,104 | $1,104 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $194 | $194 | $194 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $837 | $942 | $1,047 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $592 | $811 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $280 | $280 | $280 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $700 | $700 | $700 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $510 | $510 | $510 |