| Psychotherapy 60 minutes CPT 90837 • Mental Health | $380 | $401 | $423 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $342 | $352 | $362 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $417 | $429 | $441 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $206 | $208 | $211 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $277 | $292 | $307 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $291 | $305 | $319 |
| Group psychotherapy CPT 90853 • Mental Health | $79 | $81 | $84 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $13 | $14 | $15 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $408 | $418 | $428 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $332 | $372 | $412 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $339 | $360 | $381 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $1,111 | $1,115 | $1,118 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $1,288 | $1,304 | $1,319 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $318 | $342 | $367 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $271 | $361 | $451 |
| EMG needle each extremity complete CPT 95886 • Neurology | $155 | $214 | $272 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $126 | $191 | $255 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $164 | $240 | $316 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $160 | $178 | $196 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $332 | $414 | $496 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $346 | $576 | $807 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $204 | $217 | $231 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $314 | $320 | $327 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $470 | $485 | $499 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $504 | $510 | $515 |
| Office visit established patient minimal CPT 99211 • Office Visits | $28 | $47 | $66 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $138 | $149 | $160 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $228 | $242 | $257 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $271 | $301 | $330 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $340 | $424 | $509 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $229 | $270 | $311 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $363 | $391 | $420 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $482 | $549 | $616 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $120 | $129 | $137 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $219 | $220 | $220 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $317 | $324 | $330 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $222 | $224 | $226 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $319 | $323 | $326 |
| Consultation office low complexity CPT 99243 • Office Visits | $317 | $347 | $376 |
| Consultation office high complexity CPT 99245 • Office Visits | $591 | $639 | $687 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,757 | $1,819 | $1,881 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $108 | $124 | $140 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $3,289 | $3,447 | $3,606 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $687 | $720 | $754 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $3,058 | $3,197 | $3,337 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $1,421 | $1,478 | $1,535 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $840 | $878 | $916 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $2,078 | $2,182 | $2,286 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,517 | $1,592 | $1,666 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $308 | $313 | $317 |