| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $90 | $107 | $115 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $138 | $160 | $184 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $119 | $136 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $131 | $144 | $150 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $63 | $76 | $95 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $102 | $121 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $105 | $135 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $57 | $77 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $123 | $127 | $135 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $97 | $131 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $129 | $132 | $133 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $348 | $360 | $366 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $355 | $404 | $429 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $111 | $112 | $116 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $32 | $109 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $94 | $96 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $54 | $77 | $89 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $78 | $111 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $81 | $107 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $175 | $179 | $186 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $189 | $253 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $70 | $71 | $74 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $104 | $107 | $109 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $123 | $163 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $119 | $167 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $18 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $44 | $51 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $65 | $71 | $75 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $12 | $61 | $124 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $142 | $147 | $149 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $100 | $147 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $136 | $159 | $170 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $30 | $156 | $200 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $39 | $86 | $110 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $71 | $97 | $110 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $103 | $108 | $110 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $72 | $97 | $110 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $105 | $114 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $99 | $170 |
| Consultation office high complexity CPT 99245 • Office Visits | $92 | $205 | $254 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $535 | $579 | $601 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $37 | $40 | $45 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,130 | $1,139 | $1,157 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $30 | $157 | $237 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,047 | $1,054 | $1,067 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $484 | $489 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $230 | $269 | $288 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $715 | $724 | $733 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $521 | $527 | $534 |