| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $67 | $70 | $73 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $79 | $88 | $98 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $97 | $127 | $158 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $115 | $141 | $167 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $52 | $54 | $55 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $105 | $124 | $142 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $100 | $124 | $148 |
| Group psychotherapy CPT 90853 • Mental Health | $22 | $23 | $23 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $184 | $191 | $198 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $42 | $101 | $143 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $117 | $135 | $152 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $82 | $203 | $323 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $325 | $347 | $370 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $97 | $105 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $53 | $123 | $159 |
| EMG needle each extremity complete CPT 95886 • Neurology | $66 | $72 | $79 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $74 | $79 | $83 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $49 | $87 | $109 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $64 | $64 | $64 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $88 | $128 | $168 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $155 | $207 | $259 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $61 | $62 | $62 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $45 | $60 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $92 | $143 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $112 | $212 |
| Office visit established patient minimal CPT 99211 • Office Visits | $5 | $19 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $38 | $49 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $55 | $78 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $68 | $95 | $110 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $118 | $205 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $142 | $145 | $148 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $164 | $178 | $192 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $114 | $215 | $292 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $55 | $85 | $115 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $101 | $108 | $115 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $82 | $103 | $123 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $44 | $79 | $115 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $126 | $144 | $156 |
| Consultation office low complexity CPT 99243 • Office Visits | $42 | $89 | $129 |
| Consultation office high complexity CPT 99245 • Office Visits | $195 | $264 | $326 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $499 | $506 | $512 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $35 | $40 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $825 | $1,355 | $1,886 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $293 | $293 | $293 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $727 | $941 | $1,155 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $380 | $597 | $763 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $180 | $180 | $180 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $720 | $890 | $1,059 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $474 | $692 | $814 |