| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $92 | $97 | $103 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $129 | $132 | $136 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $148 | $153 | $158 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $150 | $159 | $167 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $68 | $99 | $130 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $116 | $124 | $132 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $108 | $120 | $132 |
| Group psychotherapy CPT 90853 • Mental Health | $29 | $42 | $56 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $8 | $8 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $184 | $264 | $344 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $42 | $148 | $248 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $152 | $217 | $282 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $323 | $334 | $344 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $370 | $395 | $421 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $56 | $90 | $107 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $88 | $130 | $151 |
| EMG needle each extremity complete CPT 95886 • Neurology | $57 | $68 | $79 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $58 | $70 | $83 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $103 | $126 | $172 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $97 | $97 | $97 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $115 | $141 | $168 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $128 | $193 | $259 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $63 | $78 | $92 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $76 | $103 | $130 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $42 | $64 | $108 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $42 | $121 | $280 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $23 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $38 | $47 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $90 | $95 | $99 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $42 | $77 | $147 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $93 | $133 | $174 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $84 | $116 | $148 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $164 | $174 | $184 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $42 | $149 | $239 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $53 | $84 | $115 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $96 | $106 | $115 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $123 | $131 | $138 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $60 | $87 | $115 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $126 | $132 | $142 |
| Consultation office low complexity CPT 99243 • Office Visits | $42 | $100 | $149 |
| Consultation office high complexity CPT 99245 • Office Visits | $269 | $281 | $305 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $512 | $698 | $885 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $35 | $58 | $81 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $914 | $914 | $914 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $326 | $372 | $418 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,155 | $1,404 | $1,654 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $392 | $640 | $763 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $235 | $294 | $354 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $581 | $581 | $581 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $42 | $233 | $423 |