| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $98 | $109 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $157 | $174 | $190 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $123 | $134 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $176 | $179 | $183 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $71 | $86 | $96 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $122 | $141 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $129 | $143 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $30 | $48 | $66 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $123 | $149 | $174 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $30 | $96 | $143 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $133 | $144 | $164 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $310 | $359 | $401 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $429 | $485 | $541 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $74 | $99 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $80 | $113 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $52 | $84 | $116 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $52 | $71 | $109 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $80 | $101 | $112 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $55 | $85 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $104 | $136 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $225 | $265 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $47 | $57 | $71 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $30 | $77 | $125 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $20 | $123 | $188 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $139 | $248 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $21 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $41 | $55 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $30 | $54 | $102 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $93 | $144 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $30 | $117 | $203 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $97 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $131 | $139 | $146 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $29 | $140 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $55 | $92 | $129 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $83 | $129 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $87 | $133 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $83 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $101 | $120 | $130 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $83 | $127 |
| Consultation office high complexity CPT 99245 • Office Visits | $184 | $211 | $237 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $601 | $677 | $753 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $37 | $43 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,130 | $1,275 | $1,420 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $295 | $295 | $295 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $797 | $1,315 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $524 | $609 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $359 | $359 | $359 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $896 | $896 | $896 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $342 | $654 |