| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $77 | $88 | $98 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $136 | $146 | $157 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $125 | $134 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $176 | $181 | $186 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $72 | $84 | $96 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $87 | $100 | $113 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $103 | $126 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $31 | $41 | $52 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $123 | $136 | $150 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $121 | $127 | $132 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $128 | $131 | $133 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $54 | $210 | $366 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $210 | $320 | $429 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $83 | $102 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $36 | $93 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $43 | $48 | $52 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $52 | $55 | $59 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $22 | $88 | $130 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $67 | $67 | $67 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $86 | $95 | $104 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $127 | $206 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $47 | $54 | $62 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $66 | $66 | $66 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $138 | $147 | $163 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $161 | $172 | $180 |
| Office visit established patient minimal CPT 99211 • Office Visits | $20 | $21 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $22 | $29 | $35 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $60 | $63 | $65 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $12 | $68 | $125 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $122 | $132 | $142 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $87 | $87 | $87 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $119 | $119 | $119 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $175 | $194 | $212 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $36 | $36 | $36 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $65 | $65 | $65 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $93 | $93 | $93 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $66 | $66 | $66 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $94 | $109 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $122 | $146 | $157 |
| Consultation office high complexity CPT 99245 • Office Visits | $92 | $176 | $222 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $580 | $590 | $601 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $37 | $48 | $59 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,057 | $1,093 | $1,130 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $197 | $241 | $286 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $967 | $1,007 | $1,047 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $493 | $514 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $288 | $311 | $333 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $886 | $886 | $886 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $630 | $630 | $630 |