| Psychotherapy 60 minutes CPT 90837 • Mental Health | $101 | $111 | $138 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $113 | $116 | $119 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $144 | $145 | $145 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $63 | $66 | $70 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $90 | $102 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $91 | $105 |
| Group psychotherapy CPT 90853 • Mental Health | $18 | $21 | $25 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $62 | $139 | $215 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $130 | $130 | $130 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $126 | $138 | $158 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $267 | $312 | $380 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $58 | $329 | $440 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $52 | $52 | $52 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $84 | $84 | $84 |
| EMG needle each extremity complete CPT 95886 • Neurology | $52 | $82 | $98 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $54 | $54 | $54 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $67 | $83 | $113 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $55 | $66 | $81 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $78 | $121 | $178 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $101 | $194 | $291 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $72 | $80 | $87 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $52 | $97 | $128 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $83 | $144 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $129 | $150 | $203 |
| Office visit established patient minimal CPT 99211 • Office Visits | $7 | $13 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $22 | $43 | $56 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $55 | $76 | $91 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $82 | $101 | $110 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $142 | $168 | $186 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $89 | $122 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $136 | $161 | $171 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $124 | $189 | $250 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $39 | $44 | $51 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $50 | $72 | $92 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $103 | $127 | $144 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $68 | $76 | $93 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $81 | $116 | $143 |
| Consultation office low complexity CPT 99243 • Office Visits | $104 | $132 | $171 |
| Consultation office high complexity CPT 99245 • Office Visits | $221 | $221 | $221 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $599 | $679 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $45 | $45 | $45 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,157 | $1,157 | $1,157 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $241 | $243 | $245 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,067 | $1,067 | $1,067 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $489 | $489 | $489 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $291 | $294 | $296 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $733 | $740 | $747 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $508 | $521 | $534 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $99 | $109 | $119 |