| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $135 | $143 | $152 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $65 | $66 | $67 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $87 | $91 | $95 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $91 | $94 | $98 |
| Group psychotherapy CPT 90853 • Mental Health | $26 | $39 | $52 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $0 | $3 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $42 | $51 | $59 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $11 | $69 | $126 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $64 | $95 | $126 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $54 | $55 | $56 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $56 | $203 | $349 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $24 | $43 | $63 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $34 | $97 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $45 | $46 | $48 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $19 | $54 | $89 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $50 | $51 | $51 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $70 | $73 | $76 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $77 | $78 | $78 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $148 | $216 | $284 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $30 | $50 | $71 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $7 | $53 | $100 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $153 | $165 | $177 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $44 | $101 | $158 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $14 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $14 | $19 | $24 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $11 | $40 | $70 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $40 | $70 | $101 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $136 | $147 | $158 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $44 | $70 | $95 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $128 | $139 | $149 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $44 | $116 | $188 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $5 | $21 | $37 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $67 | $68 | $69 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $84 | $90 | $97 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $44 | $56 | $68 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $8 | $54 | $100 |
| Consultation office low complexity CPT 99243 • Office Visits | $107 | $111 | $115 |
| Consultation office high complexity CPT 99245 • Office Visits | $207 | $208 | $210 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $498 | $537 | $576 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $36 | $39 | $43 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,072 | $1,088 | $1,104 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $187 | $209 | $231 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $668 | $844 | $1,021 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $93 | $281 | $470 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $217 | $219 | $220 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $181 | $440 | $700 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $132 | $321 | $510 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $70 | $81 | $92 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,118 | $1,280 | $1,441 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $475 | $479 | $483 |