| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $54 | $56 | $58 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $88 | $99 | $111 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $86 | $94 | $102 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $124 | $124 | $124 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $55 | $60 | $64 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $62 | $64 | $66 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $83 | $92 | $100 |
| Group psychotherapy CPT 90853 • Mental Health | $19 | $21 | $22 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $131 | $132 | $133 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $127 | $131 | $135 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $112 | $124 | $136 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $41 | $200 | $360 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $41 | $229 | $418 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $37 | $82 | $105 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $60 | $120 | $149 |
| EMG needle each extremity complete CPT 95886 • Neurology | $75 | $82 | $90 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $81 | $82 | $83 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $47 | $84 | $103 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $53 | $86 | $119 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $85 | $123 | $162 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $151 | $207 | $264 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $50 | $56 | $62 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $52 | $74 | $96 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $87 | $129 | $157 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $123 | $155 | $202 |
| Office visit established patient minimal CPT 99211 • Office Visits | $15 | $18 | $21 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $39 | $49 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $48 | $63 | $78 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $53 | $86 | $102 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $97 | $126 | $154 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $68 | $72 | $76 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $93 | $106 | $118 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $137 | $151 | $158 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $28 | $37 | $45 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $51 | $61 | $71 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $73 | $90 | $108 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $51 | $62 | $73 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $74 | $94 | $105 |
| Consultation office low complexity CPT 99243 • Office Visits | $98 | $106 | $110 |
| Consultation office high complexity CPT 99245 • Office Visits | $176 | $195 | $204 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $529 | $537 | $545 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $45 | $49 | $53 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $880 | $880 | $880 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $256 | $275 | $294 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $882 | $1,092 | $1,302 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $471 | $560 | $605 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $338 | $338 | $338 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $792 | $792 | $792 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $569 | $569 | $569 |