| Obstetric ultrasound limited CPT 76815 • Maternity | $37 | $43 | $50 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $31 | $36 | $42 |
| Interactive complexity add-on CPT 90785 • Mental Health | $5 | $5 | $6 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $146 | $162 | $178 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $122 | $135 | $149 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $59 | $60 | $61 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $41 | $45 | $50 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $79 | $88 | $96 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $66 | $73 | $81 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $116 | $129 | $141 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $107 | $119 | $130 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $159 | $159 | $159 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $83 | $83 | $83 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $74 | $89 | $103 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $88 | $105 | $123 |
| Group psychotherapy CPT 90853 • Mental Health | $26 | $31 | $35 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $77 | $103 | $128 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $126 | $137 | $148 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $97 | $113 | $129 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $46 | $55 | $64 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $46 | $105 | $164 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $42 | $50 | $58 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $30 | $30 | $31 |
| EMG needle each extremity complete CPT 95886 • Neurology | $46 | $74 | $102 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $50 | $80 | $110 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $63 | $70 | $77 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $70 | $102 | $133 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $74 | $82 | $90 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $109 | $121 | $133 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $50 | $52 | $53 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $57 | $67 | $77 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $119 | $132 | $144 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $150 | $151 | $152 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $13 | $17 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $19 | $22 | $26 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $37 | $46 | $55 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $57 | $72 | $87 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $105 | $116 | $127 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $73 | $73 | $74 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $102 | $111 | $120 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $150 | $159 | $168 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $31 | $34 | $36 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $55 | $57 | $60 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $79 | $82 | $85 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $56 | $66 | $76 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $81 | $92 | $103 |
| Consultation office straightforward CPT 99241 • Office Visits | $27 | $27 | $27 |
| Consultation office low complexity CPT 99243 • Office Visits | $105 | $117 | $129 |
| Consultation office high complexity CPT 99245 • Office Visits | $159 | $177 | $196 |