| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $69 | $75 | $80 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $124 | $128 | $132 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $91 | $107 | $123 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $100 | $119 | $139 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $60 | $67 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $86 | $88 | $90 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $107 | $109 | $111 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $35 | $49 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $137 | $215 | $293 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $125 | $149 | $174 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $106 | $143 | $179 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $53 | $251 | $448 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $286 | $412 | $537 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $40 | $81 | $143 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $156 | $157 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $40 | $81 | $123 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $32 | $73 | $115 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $108 | $121 | $145 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $49 | $49 | $49 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $71 | $150 | $229 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $87 | $228 | $370 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $44 | $66 | $88 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $89 | $108 | $127 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $120 | $131 | $153 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $150 | $167 | $191 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $17 | $25 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $36 | $45 | $54 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $60 | $74 | $89 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $78 | $82 | $90 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $85 | $131 | $177 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $78 | $102 | $127 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $105 | $135 | $165 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $162 | $195 | $245 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $54 | $72 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $55 | $71 | $87 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $94 | $110 | $125 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $56 | $71 | $87 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $99 | $116 | $129 |
| Consultation office low complexity CPT 99243 • Office Visits | $48 | $87 | $120 |
| Consultation office high complexity CPT 99245 • Office Visits | $189 | $225 | $267 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $569 | $624 | $679 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $49 | $50 | $51 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $905 | $905 | $905 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $323 | $323 | $323 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $837 | $1,103 | $1,368 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $508 | $615 | $706 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $282 | $282 | $282 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $870 | $870 | $870 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $48 | $335 | $622 |