| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $88 | $91 | $94 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $139 | $147 | $155 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $126 | $139 | $152 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $156 | $202 | $248 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $74 | $101 | $128 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $105 | $108 | $110 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $109 | $126 | $143 |
| Group psychotherapy CPT 90853 • Mental Health | $41 | $42 | $44 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $7 | $7 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $110 | $113 | $116 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $124 | $158 | $224 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $126 | $136 | $146 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $76 | $210 | $343 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $76 | $244 | $412 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $106 | $116 | $134 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $110 | $139 | $154 |
| EMG needle each extremity complete CPT 95886 • Neurology | $93 | $108 | $122 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $60 | $73 | $85 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $72 | $96 | $107 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $52 | $69 | $87 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $112 | $140 | $168 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $272 | $348 | $424 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $59 | $80 | $102 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $50 | $99 | $147 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $107 | $158 | $225 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $144 | $201 | $279 |
| Office visit established patient minimal CPT 99211 • Office Visits | $28 | $28 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $35 | $43 | $50 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $50 | $74 | $99 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $110 | $122 | $146 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $50 | $123 | $196 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $98 | $118 | $138 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $50 | $118 | $186 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $16 | $113 | $274 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $50 | $52 | $53 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $50 | $74 | $98 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $50 | $95 | $140 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $50 | $74 | $98 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $81 | $112 | $144 |
| Consultation office low complexity CPT 99243 • Office Visits | $9 | $103 | $168 |
| Consultation office high complexity CPT 99245 • Office Visits | $21 | $185 | $303 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $534 | $657 | $781 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $38 | $67 | $96 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,588 | $1,588 | $1,588 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $473 | $473 | $473 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,056 | $1,353 | $1,650 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $486 | $609 | $855 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $432 | $432 | $432 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,476 | $1,476 | $1,476 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,065 | $1,065 | $1,065 |