| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $93 | $117 | $141 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $116 | $167 | $218 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $115 | $151 | $186 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $141 | $174 | $206 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $75 | $92 | $109 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $100 | $130 | $160 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $100 | $133 | $165 |
| Group psychotherapy CPT 90853 • Mental Health | $24 | $34 | $43 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $6 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $77 | $99 | $121 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $118 | $135 | $161 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $120 | $123 | $126 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $355 | $404 | $453 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $412 | $528 | $644 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $81 | $96 | $105 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $144 | $183 | $260 |
| EMG needle each extremity complete CPT 95886 • Neurology | $91 | $119 | $148 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $61 | $73 | $84 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $79 | $96 | $105 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $79 | $103 | $126 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $165 | $167 | $169 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $168 | $219 | $270 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $63 | $74 | $85 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $97 | $109 | $121 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $114 | $149 | $186 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $116 | $182 | $235 |
| Office visit established patient minimal CPT 99211 • Office Visits | $5 | $16 | $26 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $49 | $50 | $51 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $79 | $82 | $85 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $91 | $106 | $113 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $158 | $162 | $166 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $72 | $94 | $116 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $114 | $136 | $157 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $152 | $179 | $232 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $43 | $44 | $45 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $70 | $77 | $83 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $105 | $113 | $120 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $71 | $77 | $84 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $101 | $108 | $123 |
| Consultation office low complexity CPT 99243 • Office Visits | $83 | $111 | $141 |
| Consultation office high complexity CPT 99245 • Office Visits | $200 | $207 | $221 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $580 | $656 | $733 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $36 | $51 | $66 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,686 | $1,686 | $1,686 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $296 | $296 | $296 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,013 | $1,284 | $1,556 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $468 | $551 | $714 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $425 | $425 | $425 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $820 | $944 | $1,068 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $778 | $778 | $778 |