| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $138 | $145 | $152 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $66 | $70 | $73 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $102 | $104 | $106 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $106 | $108 | $110 |
| Group psychotherapy CPT 90853 • Mental Health | $25 | $26 | $26 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $58 | $107 | $156 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $125 | $128 | $131 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $114 | $131 | $148 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $298 | $301 | $305 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $52 | $212 | $373 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $55 | $65 | $76 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $104 | $139 | $175 |
| EMG needle each extremity complete CPT 95886 • Neurology | $51 | $56 | $62 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $68 | $83 | $98 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $54 | $69 | $85 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $64 | $67 | $69 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $88 | $142 | $196 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $199 | $219 | $240 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $48 | $50 | $52 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $44 | $89 | $114 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $44 | $105 | $136 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $185 | $199 | $213 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $17 | $23 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $27 | $36 | $44 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $44 | $63 | $93 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $44 | $95 | $131 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $116 | $131 | $147 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $84 | $95 | $105 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $133 | $138 | $143 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $177 | $193 | $210 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $41 | $45 | $50 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $75 | $78 | $81 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $108 | $114 | $121 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $75 | $79 | $83 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $111 | $114 | $117 |
| Consultation office low complexity CPT 99243 • Office Visits | $127 | $129 | $131 |
| Consultation office high complexity CPT 99245 • Office Visits | $200 | $205 | $209 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $581 | $598 | $616 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $41 | $46 | $52 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,079 | $1,205 | $1,331 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $234 | $243 | $253 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,227 | $1,286 | $1,345 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $563 | $593 | $623 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $265 | $355 | $436 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $843 | $953 | $1,167 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $614 | $724 | $938 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $111 | $151 | $191 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,246 | $1,297 | $1,348 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $560 | $689 | $817 |