| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $116 | $123 | $131 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $109 | $142 | $176 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $150 | $158 | $166 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $152 | $177 | $203 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $64 | $81 | $97 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $126 | $134 | $143 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $107 | $127 | $147 |
| Group psychotherapy CPT 90853 • Mental Health | $39 | $45 | $51 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $7 | $7 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $87 | $247 | $407 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $15 | $88 | $160 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $181 | $181 | $181 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $67 | $277 | $488 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $81 | $303 | $524 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $90 | $120 | $135 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $195 | $208 | $234 |
| EMG needle each extremity complete CPT 95886 • Neurology | $65 | $99 | $132 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $108 | $119 | $131 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $94 | $122 | $135 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $113 | $138 | $162 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $87 | $98 | $110 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $344 | $380 | $416 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $84 | $125 | $165 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $86 | $170 | $255 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $138 | $161 | $184 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $183 | $200 | $232 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $31 | $52 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $50 | $89 | $128 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $84 | $145 | $207 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $12 | $49 | $121 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $163 | $288 | $412 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $115 | $172 | $228 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $156 | $231 | $307 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $162 | $281 | $451 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $45 | $66 | $88 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $82 | $122 | $162 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $118 | $175 | $233 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $82 | $123 | $163 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $86 | $149 | $238 |
| Consultation office low complexity CPT 99243 • Office Visits | $10 | $85 | $136 |
| Consultation office high complexity CPT 99245 • Office Visits | $29 | $249 | $499 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $751 | $751 | $751 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $53 | $58 | $63 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,623 | $1,623 | $1,623 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $334 | $336 | $338 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,497 | $1,497 | $1,497 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $681 | $683 | $686 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $323 | $323 | $323 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,005 | $1,016 | $1,028 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $749 | $749 | $749 |