| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $86 | $100 | $114 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $102 | $114 | $126 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $127 | $139 | $150 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $121 | $137 | $152 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $60 | $65 | $70 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $81 | $110 | $140 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $85 | $106 | $126 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $32 | $41 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $125 | $125 | $125 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $113 | $138 | $164 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $187 | $187 | $187 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $312 | $325 | $338 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $425 | $425 | $425 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $55 | $97 | $119 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $33 | $109 | $166 |
| EMG needle each extremity complete CPT 95886 • Neurology | $36 | $36 | $36 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $75 | $86 | $96 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $99 | $107 | $115 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $66 | $66 | $66 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $266 | $266 | $266 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $335 | $335 | $335 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $38 | $38 | $38 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $100 | $100 | $100 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $136 | $166 | $227 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $144 | $159 | $178 |
| Office visit established patient minimal CPT 99211 • Office Visits | $4 | $13 | $22 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $63 | $63 | $63 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $103 | $103 | $103 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $8 | $57 | $89 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $201 | $201 | $201 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $83 | $83 | $83 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $191 | $191 | $191 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $183 | $226 | $280 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $54 | $54 | $54 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $66 | $66 | $66 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $96 | $96 | $96 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $65 | $65 | $65 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $96 | $122 | $148 |
| Consultation office low complexity CPT 99243 • Office Visits | $89 | $109 | $127 |
| Consultation office high complexity CPT 99245 • Office Visits | $171 | $184 | $197 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $855 | $855 | $855 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $31 | $31 | $31 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,639 | $1,639 | $1,639 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $202 | $202 | $202 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $960 | $960 | $960 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $443 | $481 | $518 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $245 | $245 | $245 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $820 | $929 | $1,039 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $434 | $434 | $434 |