| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $61 | $74 | $87 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $101 | $112 | $124 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $98 | $106 | $115 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $140 | $147 | $154 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $62 | $71 | $80 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $71 | $73 | $75 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $93 | $96 | $99 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $25 | $26 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $6 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $132 | $148 | $165 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $38 | $76 | $115 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $99 | $123 | $147 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $62 | $207 | $383 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $115 | $237 | $451 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $26 | $94 | $128 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $31 | $101 | $183 |
| EMG needle each extremity complete CPT 95886 • Neurology | $42 | $71 | $100 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $83 | $92 | $101 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $58 | $85 | $131 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $54 | $105 | $157 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $69 | $138 | $206 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $267 | $294 | $321 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $32 | $87 | $119 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $65 | $153 | $222 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $24 | $152 | $333 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $126 | $287 | $440 |
| Office visit established patient minimal CPT 99211 • Office Visits | $13 | $31 | $44 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $26 | $61 | $111 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $43 | $120 | $176 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $65 | $136 | $249 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $88 | $241 | $353 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $64 | $124 | $200 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $87 | $173 | $261 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $129 | $224 | $337 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $26 | $46 | $74 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $48 | $87 | $142 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $68 | $133 | $174 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $47 | $87 | $142 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $69 | $122 | $210 |
| Consultation office low complexity CPT 99243 • Office Visits | $88 | $100 | $115 |
| Consultation office high complexity CPT 99245 • Office Visits | $160 | $182 | $209 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $412 | $546 | $681 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $19 | $39 | $50 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $855 | $855 | $855 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $179 | $211 | $244 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $845 | $894 | $943 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $451 | $520 | $554 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $291 | $291 | $291 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $769 | $769 | $769 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $551 | $551 | $551 |