| Psychotherapy 45 minutes CPT 90834 • Mental Health | $82 | $95 | $111 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $97 | $132 | $166 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $102 | $115 | $139 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $118 | $136 | $154 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $144 | $159 | $174 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $59 | $71 | $83 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $102 | $138 | $186 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $106 | $106 | $106 |
| Group psychotherapy CPT 90853 • Mental Health | $36 | $41 | $46 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $61 | $110 | $204 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $131 | $131 | $131 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $158 | $163 | $169 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $165 | $339 | $530 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $77 | $163 | $250 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $117 | $117 | $117 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $154 | $203 | $253 |
| EMG needle each extremity complete CPT 95886 • Neurology | $46 | $49 | $52 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $71 | $71 | $71 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $46 | $57 | $67 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $55 | $57 | $58 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $107 | $179 | $251 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $196 | $244 | $291 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $98 | $110 | $117 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $70 | $123 | $180 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $118 | $202 | $269 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $162 | $200 | $224 |
| Office visit established patient minimal CPT 99211 • Office Visits | $11 | $20 | $37 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $40 | $61 | $90 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $58 | $101 | $146 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $50 | $92 | $140 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $152 | $218 | $291 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $80 | $115 | $152 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $132 | $156 | $171 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $181 | $251 | $318 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $43 | $80 | $116 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $79 | $105 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $100 | $117 | $136 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $75 | $100 | $116 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $81 | $130 | $168 |
| Consultation office low complexity CPT 99243 • Office Visits | $125 | $129 | $131 |
| Consultation office high complexity CPT 99245 • Office Visits | $245 | $245 | $245 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $1,093 | $1,093 | $1,093 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $73 | $73 | $73 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,899 | $2,006 | $2,113 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $320 | $320 | $320 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,423 | $1,423 | $1,423 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $482 | $482 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $532 | $532 | $532 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,338 | $1,338 | $1,338 |