| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $54 | $61 | $69 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $102 | $108 | $114 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $107 | $109 | $111 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $130 | $149 | $168 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $43 | $65 | $87 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $75 | $77 | $79 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $93 | $94 | $95 |
| Group psychotherapy CPT 90853 • Mental Health | $24 | $26 | $28 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $153 | $159 | $165 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $132 | $145 | $158 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $133 | $146 | $158 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $49 | $214 | $379 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $109 | $274 | $440 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $45 | $90 | $113 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $72 | $132 | $162 |
| EMG needle each extremity complete CPT 95886 • Neurology | $38 | $68 | $98 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $40 | $65 | $90 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $113 | $113 | $114 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $136 | $136 | $136 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $105 | $141 | $178 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $291 | $293 | $296 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $55 | $57 | $59 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $81 | $87 | $92 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $99 | $119 | $138 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $130 | $156 | $183 |
| Office visit established patient minimal CPT 99211 • Office Visits | $7 | $13 | $18 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $20 | $33 | $46 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $53 | $64 | $74 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $81 | $98 | $106 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $109 | $129 | $148 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $69 | $73 | $77 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $108 | $109 | $109 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $145 | $150 | $158 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $32 | $37 | $41 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $58 | $62 | $66 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $83 | $91 | $99 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $59 | $63 | $67 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $81 | $87 | $95 |
| Consultation office low complexity CPT 99243 • Office Visits | $108 | $118 | $123 |
| Consultation office high complexity CPT 99245 • Office Visits | $198 | $219 | $230 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $631 | $650 | $670 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $48 | $56 | $65 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,131 | $1,299 | $1,467 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $317 | $317 | $317 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,055 | $1,206 | $1,356 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $560 | $604 | $626 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $408 | $408 | $408 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $926 | $949 | $972 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $695 | $695 | $695 |