| Psychotherapy 45 minutes CPT 90834 • Mental Health | $62 | $67 | $73 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $66 | $74 | $81 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $116 | $116 | $116 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $106 | $107 | $108 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $131 | $145 | $159 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $58 | $70 | $83 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $67 | $71 | $74 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $93 | $93 | $93 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $23 | $25 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $122 | $125 | $128 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $17 | $61 | $104 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $110 | $119 | $128 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $178 | $241 | $304 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $134 | $276 | $417 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $71 | $94 | $108 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $98 | $130 | $146 |
| EMG needle each extremity complete CPT 95886 • Neurology | $49 | $66 | $83 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $50 | $69 | $87 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $48 | $87 | $108 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $133 | $133 | $133 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $74 | $123 | $171 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $109 | $194 | $280 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $37 | $48 | $60 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $57 | $75 | $94 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $86 | $116 | $142 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $150 | $169 | $187 |
| Office visit established patient minimal CPT 99211 • Office Visits | $7 | $13 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $19 | $33 | $47 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $37 | $56 | $76 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $77 | $98 | $108 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $105 | $128 | $152 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $71 | $73 | $74 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $102 | $107 | $112 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $148 | $149 | $150 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $31 | $37 | $43 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $55 | $62 | $68 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $79 | $91 | $103 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $56 | $63 | $69 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $81 | $92 | $98 |
| Consultation office low complexity CPT 99243 • Office Visits | $63 | $92 | $107 |
| Consultation office high complexity CPT 99245 • Office Visits | $20 | $137 | $201 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $497 | $523 | $548 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $39 | $45 | $50 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $906 | $1,056 | $1,206 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $210 | $228 | $245 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $829 | $970 | $1,112 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $441 | $490 | $518 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $286 | $286 | $286 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $759 | $759 | $759 |