| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $95 | $103 | $111 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $123 | $127 | $132 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $125 | $137 | $150 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $152 | $152 | $152 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $64 | $68 | $73 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $94 | $100 | $107 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $110 | $118 | $126 |
| Group psychotherapy CPT 90853 • Mental Health | $26 | $45 | $63 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $144 | $144 | $144 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $121 | $138 | $155 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $111 | $111 | $111 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $61 | $199 | $338 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $381 | $381 | $381 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $55 | $80 | $119 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $90 | $146 | $174 |
| EMG needle each extremity complete CPT 95886 • Neurology | $49 | $49 | $49 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $96 | $97 | $99 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $71 | $96 | $120 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $85 | $85 | $85 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $84 | $84 | $84 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $116 | $116 | $116 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $78 | $78 | $78 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $111 | $111 | $111 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $169 | $172 | $175 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $214 | $217 | $219 |
| Office visit established patient minimal CPT 99211 • Office Visits | $24 | $24 | $24 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $27 | $27 | $27 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $53 | $53 | $53 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $82 | $103 | $114 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $151 | $151 | $151 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $105 | $105 | $105 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $143 | $143 | $143 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $145 | $179 | $210 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $41 | $41 | $41 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $75 | $75 | $75 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $108 | $108 | $108 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $76 | $76 | $76 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $77 | $94 | $111 |
| Consultation office low complexity CPT 99243 • Office Visits | $128 | $132 | $137 |
| Consultation office high complexity CPT 99245 • Office Visits | $29 | $115 | $200 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $636 | $636 | $636 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $48 | $48 | $48 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,224 | $1,224 | $1,224 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $215 | $215 | $215 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,131 | $1,131 | $1,131 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $60 | $290 | $519 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $309 | $309 | $309 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $775 | $775 | $775 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $565 | $565 | $565 |