| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $84 | $89 | $98 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $140 | $151 | $157 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $108 | $121 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $124 | $145 | $176 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $63 | $71 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $84 | $109 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $116 | $141 | $157 |
| Group psychotherapy CPT 90853 • Mental Health | $40 | $48 | $58 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $0 | $0 | $0 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $25 | $27 | $30 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $92 | $92 | $92 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $133 | $133 | $134 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $298 | $304 | $310 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $374 | $401 | $429 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $50 | $81 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $80 | $121 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $97 | $97 | $98 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $18 | $53 | $89 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $65 | $88 | $111 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $56 | $56 | $56 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $35 | $105 | $175 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $143 | $214 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $11 | $50 | $70 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $82 | $94 | $109 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $159 | $161 | $164 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $32 | $142 | $210 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $24 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $5 | $35 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $7 | $56 | $86 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $96 | $120 | $160 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $145 | $157 | $176 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $10 | $80 | $170 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $124 | $142 | $171 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $124 | $163 | $198 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $38 | $65 | $110 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $72 | $110 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $99 | $114 | $130 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $77 | $95 | $110 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $102 | $107 | $110 |
| Consultation office low complexity CPT 99243 • Office Visits | $12 | $71 | $108 |
| Consultation office high complexity CPT 99245 • Office Visits | $191 | $216 | $254 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $30 | $316 | $601 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $28 | $29 | $30 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $848 | $989 | $1,130 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $30 | $104 | $178 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $30 | $277 | $524 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $362 | $422 | $482 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $23 | $23 | $23 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $107 | $411 | $715 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $78 | $78 | $78 |