| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $45 | $45 | $45 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $81 | $81 | $81 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $74 | $74 | $74 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $129 | $140 | $150 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $119 | $119 | $119 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $181 | $181 | $181 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $94 | $94 | $94 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $86 | $86 | $86 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $105 | $105 | $105 |
| Group psychotherapy CPT 90853 • Mental Health | $30 | $30 | $30 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $201 | $204 | $207 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $153 | $157 | $160 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $143 | $154 | $164 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $182 | $300 | $418 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $170 | $170 | $170 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $48 | $48 | $48 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $107 | $107 | $107 |
| EMG needle each extremity complete CPT 95886 • Neurology | $51 | $51 | $51 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $43 | $43 | $43 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $70 | $70 | $70 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $84 | $91 | $98 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $80 | $80 | $80 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $200 | $200 | $200 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $59 | $70 | $91 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $87 | $109 | $132 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $106 | $143 | $163 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $141 | $253 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $24 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $39 | $53 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $54 | $89 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $49 | $87 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $117 | $147 | $178 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $80 | $126 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $116 | $143 | $170 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $30 | $151 | $252 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $35 | $42 | $49 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $61 | $90 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $83 | $130 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $61 | $90 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $92 | $118 | $134 |
| Consultation office low complexity CPT 99243 • Office Visits | $89 | $118 | $145 |
| Consultation office high complexity CPT 99245 • Office Visits | $213 | $251 | $276 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $768 | $783 | $799 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $60 | $75 | $91 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,377 | $1,475 | $1,574 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $323 | $328 | $333 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,285 | $1,366 | $1,448 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $682 | $766 | $850 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $388 | $415 | $441 |