| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $178 | $184 | $190 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $217 | $224 | $230 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $104 | $107 | $110 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $168 | $173 | $178 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $174 | $179 | $185 |
| Group psychotherapy CPT 90853 • Mental Health | $43 | $44 | $45 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $8 | $8 | $9 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $167 | $241 | $314 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $257 | $269 | $281 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $244 | $248 | $252 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $93 | $344 | $595 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $530 | $604 | $678 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $84 | $145 | $207 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $134 | $138 | $142 |
| EMG needle each extremity complete CPT 95886 • Neurology | $75 | $114 | $154 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $63 | $114 | $164 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $107 | $159 | $211 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $110 | $166 | $222 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $172 | $252 | $332 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $483 | $492 | $501 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $114 | $115 | $117 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $45 | $153 | $245 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $262 | $270 | $274 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $45 | $253 | $442 |
| Office visit established patient minimal CPT 99211 • Office Visits | $30 | $31 | $31 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $45 | $70 | $97 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $91 | $113 | $133 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $170 | $196 | $209 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $178 | $262 | $305 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $157 | $160 | $162 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $213 | $217 | $221 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $315 | $320 | $325 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $17 | $56 | $87 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $112 | $114 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $162 | $164 | $167 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $113 | $114 | $116 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $166 | $169 | $171 |
| Consultation office low complexity CPT 99243 • Office Visits | $157 | $174 | $191 |
| Consultation office high complexity CPT 99245 • Office Visits | $348 | $354 | $360 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,170 | $1,170 | $1,170 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $132 | $132 | $132 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $2,239 | $2,239 | $2,239 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $650 | $650 | $650 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $2,298 | $2,298 | $2,298 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $1,207 | $1,207 | $1,207 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $564 | $564 | $564 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,547 | $1,547 | $1,547 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,241 | $1,241 | $1,241 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $197 | $197 | $197 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $3,106 | $3,106 | $3,106 |