| Psychotherapy 60 minutes CPT 90837 • Mental Health | $129 | $130 | $132 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $128 | $128 | $128 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $195 | $195 | $195 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $101 | $101 | $101 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $93 | $109 | $138 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $114 | $134 | $144 |
| Group psychotherapy CPT 90853 • Mental Health | $30 | $33 | $35 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $239 | $239 | $239 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $244 | $244 | $244 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $193 | $193 | $193 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $57 | $341 | $482 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $183 | $367 | $550 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $36 | $36 | $36 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $83 | $137 | $233 |
| EMG needle each extremity complete CPT 95886 • Neurology | $44 | $83 | $123 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $107 | $107 | $107 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $56 | $131 | $168 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $90 | $149 | $200 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $87 | $206 | $265 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $127 | $127 | $127 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $62 | $88 | $100 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $91 | $118 | $145 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $112 | $185 | $222 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $176 | $219 | $278 |
| Office visit established patient minimal CPT 99211 • Office Visits | $12 | $20 | $27 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $36 | $51 | $59 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $43 | $79 | $98 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $68 | $119 | $145 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $97 | $120 | $143 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $87 | $120 | $137 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $122 | $153 | $185 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $178 | $242 | $274 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $36 | $45 | $53 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $65 | $87 | $98 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $94 | $125 | $141 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $67 | $88 | $99 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $79 | $85 | $97 |
| Consultation office low complexity CPT 99243 • Office Visits | $94 | $94 | $94 |
| Consultation office high complexity CPT 99245 • Office Visits | $223 | $277 | $304 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $916 | $916 | $916 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $94 | $94 | $94 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,643 | $1,643 | $1,643 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $461 | $461 | $461 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,532 | $1,532 | $1,532 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $813 | $813 | $813 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $527 | $527 | $527 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,411 | $1,411 | $1,411 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $551 | $808 | $1,009 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $227 | $227 | $227 |