| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $165 | $165 | $165 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $65 | $65 | $65 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $103 | $106 | $110 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $107 | $116 | $125 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $30 | $35 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $77 | $192 | $308 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $192 | $195 | $197 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $146 | $160 | $173 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $128 | $264 | $399 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $100 | $288 | $476 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $39 | $57 | $75 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $118 | $120 | $122 |
| EMG needle each extremity complete CPT 95886 • Neurology | $45 | $56 | $66 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $48 | $63 | $77 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $77 | $87 | $97 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $92 | $104 | $116 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $110 | $116 | $123 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $133 | $145 | $157 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $60 | $64 | $68 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $102 | $135 | $168 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $144 | $199 | $254 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $183 | $261 | $339 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $17 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $40 | $42 | $44 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $55 | $68 | $81 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $87 | $138 | $189 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $127 | $198 | $268 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $73 | $88 | $103 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $120 | $142 | $163 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $168 | $193 | $219 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $36 | $49 | $62 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $60 | $79 | $99 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $85 | $117 | $150 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $76 | $90 | $104 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $103 | $126 | $149 |
| Consultation office low complexity CPT 99243 • Office Visits | $129 | $136 | $144 |
| Consultation office high complexity CPT 99245 • Office Visits | $236 | $265 | $294 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $527 | $566 | $605 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $42 | $58 | $73 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $997 | $1,100 | $1,203 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $214 | $288 | $361 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,083 | $1,123 | $1,164 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $552 | $566 | $581 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $369 | $397 | $426 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $693 | $869 | $1,046 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $509 | $649 | $789 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $163 | $197 | $232 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,064 | $1,323 | $1,582 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $690 | $714 | $738 |