| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $88 | $101 | $110 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $138 | $156 | $172 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $145 | $148 | $151 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $136 | $160 | $181 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $25 | $55 | $74 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $98 | $111 | $123 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $136 | $142 | $152 |
| Group psychotherapy CPT 90853 • Mental Health | $47 | $55 | $64 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $12 | $12 | $12 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $23 | $23 | $23 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $20 | $20 | $20 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $297 | $297 | $297 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $430 | $430 | $430 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $50 | $50 | $50 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $66 | $66 | $66 |
| EMG needle each extremity complete CPT 95886 • Neurology | $43 | $43 | $43 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $38 | $38 | $38 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $44 | $44 | $44 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $67 | $67 | $67 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $138 | $138 | $138 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $285 | $285 | $285 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $5 | $63 | $94 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $104 | $124 | $138 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $178 | $192 | $199 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $42 | $176 | $250 |
| Office visit established patient minimal CPT 99211 • Office Visits | $19 | $29 | $42 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $8 | $41 | $59 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $85 | $93 | $98 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $103 | $124 | $138 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $59 | $140 | $185 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $40 | $81 | $123 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $166 | $168 | $171 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $185 | $215 | $246 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $47 | $63 | $78 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $29 | $77 | $116 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $41 | $84 | $126 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $30 | $59 | $89 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $98 | $114 | $131 |
| Consultation office low complexity CPT 99243 • Office Visits | $58 | $103 | $148 |
| Consultation office high complexity CPT 99245 • Office Visits | $21 | $145 | $269 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $295 | $295 | $295 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $6 | $6 | $6 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $881 | $881 | $881 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $39 | $39 | $39 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $547 | $547 | $547 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $483 | $483 | $483 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $43 | $43 | $43 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $74 | $74 | $74 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $54 | $54 | $54 |