| Psychotherapy 60 minutes CPT 90837 • Mental Health | $123 | $130 | $135 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $92 | $106 | $123 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $118 | $131 | $145 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $46 | $55 | $63 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $87 | $101 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $92 | $110 |
| Group psychotherapy CPT 90853 • Mental Health | $22 | $27 | $31 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $85 | $119 | $154 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $114 | $130 | $146 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $106 | $120 | $134 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $56 | $171 | $286 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $181 | $318 | $379 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $36 | $76 | $117 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $113 | $139 | $165 |
| EMG needle each extremity complete CPT 95886 • Neurology | $46 | $71 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $39 | $49 | $59 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $66 | $97 | $129 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $60 | $63 | $67 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $186 | $194 | $203 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $126 | $156 | $186 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $42 | $58 | $72 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $64 | $100 | $118 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $106 | $150 | $171 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $131 | $175 | $222 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $20 | $23 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $48 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $65 | $88 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $70 | $93 | $106 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $92 | $149 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $78 | $99 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $103 | $118 | $134 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $151 | $191 | $248 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $35 | $40 | $43 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $62 | $78 | $111 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $89 | $109 | $144 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $63 | $70 | $75 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $92 | $111 | $143 |
| Consultation office low complexity CPT 99243 • Office Visits | $90 | $104 | $119 |
| Consultation office high complexity CPT 99245 • Office Visits | $5 | $111 | $218 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $586 | $686 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $52 | $53 | $54 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,153 | $1,202 | $1,251 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $232 | $257 | $303 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $939 | $1,054 | $1,170 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $621 | $621 | $622 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $229 | $306 | $402 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $663 | $815 | $1,077 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $355 | $563 | $769 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $99 | $153 | $173 |