| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $81 | $98 | $111 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $117 | $147 | $170 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $115 | $129 | $138 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $140 | $151 | $162 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $52 | $61 | $70 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $86 | $112 | $137 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $99 | $108 | $117 |
| Group psychotherapy CPT 90853 • Mental Health | $18 | $24 | $31 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $30 | $94 | $156 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $143 | $152 | $164 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $147 | $166 | $202 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $341 | $388 | $440 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $416 | $461 | $517 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $75 | $105 | $128 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $92 | $116 | $159 |
| EMG needle each extremity complete CPT 95886 • Neurology | $57 | $91 | $116 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $46 | $72 | $101 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $86 | $115 | $136 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $72 | $109 | $183 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $92 | $179 | $240 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $126 | $274 | $375 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $75 | $84 | $94 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $106 | $119 | $133 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $144 | $170 | $210 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $212 | $233 | $255 |
| Office visit established patient minimal CPT 99211 • Office Visits | $22 | $25 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $32 | $42 | $50 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $57 | $74 | $91 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $88 | $108 | $134 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $143 | $162 | $180 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $100 | $113 | $126 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $135 | $144 | $153 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $164 | $210 | $252 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $38 | $44 | $49 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $71 | $81 | $91 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $102 | $109 | $116 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $72 | $81 | $91 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $105 | $117 | $133 |
| Consultation office low complexity CPT 99243 • Office Visits | $129 | $131 | $137 |
| Consultation office high complexity CPT 99245 • Office Visits | $209 | $225 | $238 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $30 | $358 | $687 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $41 | $51 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,317 | $1,424 | $1,482 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $231 | $231 | $231 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $624 | $1,219 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $554 | $587 | $648 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $293 | $314 | $334 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $835 | $911 | $988 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $609 | $696 | $794 |