| Psychotherapy 60 minutes CPT 90837 • Mental Health | $111 | $115 | $119 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $109 | $109 | $109 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $174 | $174 | $174 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $90 | $90 | $90 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $86 | $86 | $86 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $98 | $98 | $98 |
| Group psychotherapy CPT 90853 • Mental Health | $33 | $33 | $33 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $162 | $162 | $162 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $179 | $179 | $179 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $108 | $108 | $108 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $252 | $252 | $252 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $288 | $288 | $288 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $94 | $94 | $94 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $81 | $81 | $81 |
| EMG needle each extremity complete CPT 95886 • Neurology | $43 | $43 | $43 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $46 | $46 | $46 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $121 | $121 | $121 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $145 | $145 | $145 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $85 | $85 | $85 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $188 | $188 | $188 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $20 | $35 | $51 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $88 | $98 | $108 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $165 | $167 | $169 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $157 | $162 | $168 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $16 | $23 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $26 | $39 | $52 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $69 | $71 | $72 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $78 | $80 | $82 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $143 | $164 | $184 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $76 | $88 | $100 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $121 | $129 | $137 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $161 | $181 | $200 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $40 | $51 | $61 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $58 | $65 | $72 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $103 | $103 | $103 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $71 | $73 | $75 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $105 | $105 | $106 |
| Consultation office low complexity CPT 99243 • Office Visits | $125 | $125 | $125 |
| Consultation office high complexity CPT 99245 • Office Visits | $191 | $191 | $191 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $631 | $631 | $631 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $54 | $54 | $54 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,141 | $1,141 | $1,141 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $233 | $267 | $301 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,186 | $1,186 | $1,186 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $617 | $617 | $617 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $279 | $279 | $279 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,068 | $1,068 | $1,068 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $323 | $546 | $769 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $103 | $107 | $111 |