| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $66 | $67 | $69 |
| Interactive complexity add-on CPT 90785 • Mental Health | $11 | $11 | $11 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $155 | $171 | $183 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $146 | $162 | $171 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $70 | $71 | $73 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $48 | $68 | $87 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $86 | $108 | $130 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $160 | $160 | $160 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $138 | $148 | $157 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $128 | $128 | $128 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $416 | $416 | $416 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $216 | $216 | $216 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $96 | $96 | $96 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $119 | $119 | $119 |
| Group psychotherapy CPT 90853 • Mental Health | $33 | $33 | $33 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $83 | $127 | $171 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $169 | $169 | $169 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $132 | $133 | $134 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $201 | $283 | $365 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $285 | $349 | $414 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $37 | $37 | $37 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $245 | $245 | $245 |
| EMG needle each extremity complete CPT 95886 • Neurology | $55 | $82 | $96 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $109 | $109 | $109 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $76 | $76 | $76 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $78 | $101 | $135 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $71 | $226 | $432 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $285 | $307 | $350 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $53 | $89 | $102 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $107 | $146 | $179 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $135 | $183 | $270 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $180 | $296 | $369 |
| Office visit established patient minimal CPT 99211 • Office Visits | $21 | $24 | $29 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $43 | $54 | $60 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $71 | $84 | $100 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $101 | $134 | $175 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $145 | $188 | $228 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $78 | $141 | $171 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $142 | $150 | $164 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $166 | $232 | $337 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $42 | $43 | $47 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $64 | $72 | $76 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $108 | $145 | $217 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $116 | $132 | $148 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $109 | $118 | $130 |
| Consultation office straightforward CPT 99241 • Office Visits | $104 | $104 | $104 |
| Consultation office low complexity CPT 99243 • Office Visits | $256 | $256 | $256 |
| Consultation office high complexity CPT 99245 • Office Visits | $212 | $212 | $212 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $601 | $646 | $691 |