| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $67 | $71 | $76 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $102 | $104 | $105 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $99 | $109 | $119 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $110 | $126 | $143 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $58 | $63 | $68 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $82 | $84 | $85 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $88 | $101 | $114 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $34 | $45 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $115 | $121 | $127 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $100 | $105 | $110 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $110 | $113 | $116 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $61 | $202 | $303 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $297 | $324 | $352 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $98 | $102 | $104 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $30 | $83 | $148 |
| EMG needle each extremity complete CPT 95886 • Neurology | $40 | $59 | $77 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $33 | $58 | $83 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $43 | $69 | $107 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $119 | $119 | $119 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $66 | $117 | $168 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $158 | $208 | $258 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $43 | $60 | $77 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $89 | $100 | $112 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $136 | $154 | $172 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $40 | $106 | $173 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $20 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $22 | $33 | $45 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $62 | $68 | $75 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $40 | $80 | $111 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $120 | $135 | $150 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $86 | $113 | $139 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $116 | $130 | $144 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $166 | $183 | $213 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $33 | $47 | $61 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $61 | $68 | $76 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $87 | $98 | $109 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $61 | $68 | $76 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $89 | $105 | $113 |
| Consultation office low complexity CPT 99243 • Office Visits | $103 | $115 | $127 |
| Consultation office high complexity CPT 99245 • Office Visits | $40 | $153 | $232 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $454 | $473 | $492 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $29 | $30 | $30 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $980 | $980 | $980 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $153 | $178 | $204 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $811 | $857 | $902 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $37 | $275 | $413 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $246 | $246 | $246 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $40 | $330 | $620 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $451 | $451 | $451 |