| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $118 | $118 | $118 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $112 | $138 | $164 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $133 | $144 | $155 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $162 | $175 | $189 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $72 | $77 | $82 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $110 | $121 | $132 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $115 | $126 | $138 |
| Group psychotherapy CPT 90853 • Mental Health | $27 | $30 | $32 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $82 | $124 | $166 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $145 | $148 | $151 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $172 | $172 | $172 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $75 | $218 | $362 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $430 | $480 | $530 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $68 | $84 | $115 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $108 | $147 | $166 |
| EMG needle each extremity complete CPT 95886 • Neurology | $60 | $85 | $111 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $41 | $46 | $50 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $88 | $110 | $127 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $78 | $78 | $78 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $121 | $131 | $141 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $138 | $176 | $215 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $65 | $69 | $73 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $114 | $125 | $136 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $169 | $189 | $209 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $191 | $228 | $265 |
| Office visit established patient minimal CPT 99211 • Office Visits | $12 | $15 | $19 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $33 | $45 | $57 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $66 | $79 | $91 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $12 | $54 | $138 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $182 | $184 | $185 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $85 | $109 | $132 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $134 | $156 | $178 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $153 | $198 | $262 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $51 | $51 | $51 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $81 | $87 | $93 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $122 | $128 | $135 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $82 | $88 | $94 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $8 | $88 | $138 |
| Consultation office low complexity CPT 99243 • Office Visits | $142 | $150 | $158 |
| Consultation office high complexity CPT 99245 • Office Visits | $175 | $230 | $290 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $778 | $778 | $778 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $50 | $54 | $58 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,508 | $1,508 | $1,508 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $313 | $313 | $313 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,388 | $1,388 | $1,388 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $635 | $661 | $687 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $377 | $377 | $377 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $954 | $954 | $954 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $695 | $695 | $695 |