| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $107 | $116 | $125 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $53 | $60 | $67 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $72 | $85 | $97 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $75 | $88 | $100 |
| Group psychotherapy CPT 90853 • Mental Health | $23 | $25 | $26 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $0 | $3 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $83 | $96 | $109 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $49 | $77 | $105 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $107 | $111 | $114 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $305 | $349 | $394 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $373 | $386 | $399 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $52 | $85 | $118 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $81 | $82 | $83 |
| EMG needle each extremity complete CPT 95886 • Neurology | $20 | $58 | $95 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $19 | $56 | $94 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $48 | $51 | $54 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $64 | $73 | $81 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $108 | $148 | $188 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $105 | $145 | $184 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $3 | $29 | $55 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $12 | $39 | $66 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $94 | $97 | $99 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $19 | $69 | $118 |
| Office visit established patient minimal CPT 99211 • Office Visits | $2 | $11 | $21 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $19 | $26 | $34 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $32 | $41 | $50 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $45 | $50 | $55 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $15 | $43 | $70 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $6 | $39 | $71 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $46 | $71 | $96 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $122 | $131 | $141 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $27 | $31 | $35 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $50 | $53 | $56 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $42 | $57 | $72 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $28 | $40 | $51 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $40 | $57 | $74 |
| Consultation office low complexity CPT 99243 • Office Visits | $13 | $54 | $95 |
| Consultation office high complexity CPT 99245 • Office Visits | $18 | $104 | $190 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $301 | $341 | $381 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $4 | $19 | $35 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $903 | $905 | $906 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $189 | $221 | $253 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $837 | $979 | $1,120 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $363 | $374 | $386 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $154 | $167 | $181 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $76 | $325 | $573 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $56 | $237 | $417 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $75 | $81 | $88 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $122 | $518 | $914 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $51 | $224 | $397 |