| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $84 | $84 | $84 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $99 | $99 | $99 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $105 | $105 | $105 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $120 | $120 | $120 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $56 | $56 | $56 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $104 | $104 | $104 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $78 | $90 | $102 |
| Group psychotherapy CPT 90853 • Mental Health | $29 | $29 | $29 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $3 | $3 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $69 | $69 | $69 |
| EMG needle each extremity complete CPT 95886 • Neurology | $104 | $104 | $104 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $131 | $131 | $131 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $150 | $150 | $150 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $177 | $177 | $177 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $318 | $318 | $318 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $55 | $70 | $86 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $84 | $96 | $108 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $120 | $154 | $189 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $150 | $212 | $273 |
| Office visit established patient minimal CPT 99211 • Office Visits | $25 | $26 | $27 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $40 | $47 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $50 | $80 | $110 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $76 | $99 | $123 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $125 | $155 | $185 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $92 | $92 | $92 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $148 | $148 | $148 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $230 | $230 | $230 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $56 | $56 | $56 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $105 | $105 | $105 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $92 | $92 | $92 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $66 | $66 | $66 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $146 | $146 | $146 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $57 | $57 | $57 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $62 | $62 | $62 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $63 | $63 | $63 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,538 | $1,538 | $1,538 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,790 | $1,790 | $1,790 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $314 | $314 | $314 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,311 | $1,311 | $1,311 |
| Total knee replacement CPT 27447 • Orthopedics | $1,590 | $1,590 | $1,590 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $161 | $161 | $161 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,067 | $1,067 | $1,067 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $602 | $602 | $602 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $673 | $673 | $673 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $699 | $699 | $699 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $1,041 | $1,041 | $1,041 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $944 | $944 | $944 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,124 | $1,124 | $1,124 |
| Carpal tunnel release CPT 64721 • Orthopedics | $457 | $457 | $457 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $110 | $110 | $110 |