| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $82 | $86 | $94 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $107 | $110 | $113 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $91 | $105 | $123 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $96 | $104 | $111 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $68 | $81 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $93 | $101 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $77 | $98 | $112 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $22 | $23 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $90 | $102 | $115 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $64 | $97 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $110 | $122 | $134 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $54 | $256 | $367 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $52 | $201 | $350 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $117 | $119 | $121 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $72 | $79 | $87 |
| EMG needle each extremity complete CPT 95886 • Neurology | $39 | $62 | $86 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $52 | $66 | $79 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $101 | $111 | $121 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $73 | $96 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $107 | $141 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $252 | $266 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $71 | $89 | $122 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $105 | $130 | $156 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $155 | $323 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $191 | $213 | $246 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $19 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $43 | $51 | $61 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $72 | $108 | $176 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $106 | $116 | $129 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $125 | $133 | $142 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $75 | $200 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $30 | $111 | $269 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $193 | $262 | $396 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $30 | $44 | $76 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $60 | $138 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $63 | $138 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $71 | $121 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $90 | $133 | $179 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $66 | $103 |
| Consultation office high complexity CPT 99245 • Office Visits | $162 | $208 | $255 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $455 | $606 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $31 | $31 | $31 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $984 | $984 | $984 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $205 | $286 | $368 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $469 | $907 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $555 | $628 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $247 | $272 | $296 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $623 | $685 | $747 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $330 | $508 |