| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $173 | $177 | $182 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $66 | $66 | $66 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $61 | $61 | $61 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $57 | $57 | $57 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $60 | $60 | $60 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $87 | $87 | $87 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $102 | $102 | $102 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $124 | $124 | $124 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $42 | $42 | $42 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $73 | $73 | $73 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $86 | $86 | $86 |
| Group psychotherapy CPT 90853 • Mental Health | $15 | $15 | $15 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $131 | $131 | $131 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $123 | $133 | $143 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $136 | $136 | $136 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $360 | $360 | $360 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $418 | $418 | $418 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $104 | $108 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $159 | $159 | $159 |
| EMG needle each extremity complete CPT 95886 • Neurology | $90 | $90 | $90 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $83 | $83 | $83 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $103 | $106 | $109 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $162 | $162 | $162 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $264 | $264 | $264 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $66 | $66 | $66 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $103 | $103 | $103 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $165 | $165 | $165 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $212 | $212 | $212 |
| Office visit established patient minimal CPT 99211 • Office Visits | $21 | $21 | $21 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $52 | $52 | $52 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $69 | $69 | $69 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $108 | $108 | $108 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $137 | $137 | $137 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $76 | $76 | $76 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $118 | $118 | $118 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $157 | $160 | $164 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $45 | $45 | $45 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $71 | $71 | $71 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $108 | $108 | $108 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $73 | $73 | $73 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $104 | $106 | $109 |
| Consultation office low complexity CPT 99243 • Office Visits | $129 | $129 | $129 |
| Consultation office high complexity CPT 99245 • Office Visits | $204 | $221 | $238 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $545 | $545 | $545 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $45 | $45 | $45 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,302 | $1,302 | $1,302 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $605 | $626 | $648 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $387 | $387 | $387 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $939 | $939 | $939 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $114 | $114 | $114 |