| Obstetric ultrasound limited CPT 76815 • Maternity | $57 | $57 | $57 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $42 | $53 | $63 |
| Interactive complexity add-on CPT 90785 • Mental Health | $5 | $5 | $6 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $140 | $143 | $146 |
| 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 | $49 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $72 | $80 | $88 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $66 | $73 | $81 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $109 | $121 | $133 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $107 | $118 | $129 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $177 | $177 | $177 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $92 | $92 | $92 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $80 | $91 | $103 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $100 | $111 | $123 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $31 | $35 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $74 | $76 | $77 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $162 | $179 | $197 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $110 | $128 | $146 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $128 | $195 | $262 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $64 | $211 | $357 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $39 | $41 | $43 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $93 | $113 | $133 |
| EMG needle each extremity complete CPT 95886 • Neurology | $37 | $41 | $45 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $90 | $100 | $110 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $48 | $92 | $135 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $57 | $75 | $92 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $90 | $96 | $101 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $179 | $265 | $351 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $50 | $59 | $69 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $77 | $88 | $100 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $114 | $134 | $153 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $183 | $187 | $191 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $21 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $26 | $33 | $40 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $48 | $52 | $55 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $63 | $81 | $99 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $127 | $130 | $134 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $73 | $84 | $95 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $120 | $124 | $128 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $168 | $178 | $188 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $36 | $37 | $37 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $60 | $64 | $68 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $85 | $91 | $97 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $67 | $71 | $76 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $99 | $101 | $103 |
| Consultation office straightforward CPT 99241 • Office Visits | $44 | $44 | $44 |
| Consultation office low complexity CPT 99243 • Office Visits | $99 | $107 | $114 |
| Consultation office high complexity CPT 99245 • Office Visits | $196 | $202 | $208 |