| Psychotherapy 60 minutes CPT 90837 • Mental Health | $90 | $104 | $118 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $113 | $113 | $113 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $137 | $137 | $137 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $66 | $66 | $66 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $96 | $96 | $96 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $100 | $100 | $100 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $23 | $23 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $133 | $133 | $133 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $128 | $128 | $128 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $105 | $105 | $105 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $346 | $346 | $346 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $410 | $410 | $410 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $64 | $64 | $64 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $163 | $163 | $163 |
| EMG needle each extremity complete CPT 95886 • Neurology | $48 | $48 | $48 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $52 | $52 | $52 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $64 | $64 | $64 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $61 | $61 | $61 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $103 | $103 | $103 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $289 | $289 | $289 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $66 | $69 | $72 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $58 | $80 | $102 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $155 | $162 | $169 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $160 | $183 | $205 |
| Office visit established patient minimal CPT 99211 • Office Visits | $20 | $21 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $25 | $38 | $52 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $49 | $70 | $91 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $82 | $92 | $103 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $138 | $153 | $168 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $76 | $86 | $97 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $96 | $113 | $131 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $151 | $171 | $192 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $41 | $45 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $58 | $63 | $68 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $99 | $101 | $103 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $69 | $72 | $75 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $101 | $104 | $106 |
| Consultation office low complexity CPT 99243 • Office Visits | $117 | $117 | $117 |
| Consultation office high complexity CPT 99245 • Office Visits | $214 | $214 | $214 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $585 | $585 | $585 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $35 | $35 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,122 | $1,122 | $1,122 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $197 | $215 | $233 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,038 | $1,038 | $1,038 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $478 | $478 | $478 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $224 | $224 | $224 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $712 | $712 | $712 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $461 | $490 | $519 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $96 | $100 | $103 |