| Psychotherapy 60 minutes CPT 90837 • Mental Health | $125 | $132 | $139 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $108 | $108 | $108 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $248 | $248 | $248 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $57 | $57 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $114 | $114 | $114 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $95 | $95 | $95 |
| Group psychotherapy CPT 90853 • Mental Health | $38 | $38 | $38 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $102 | $135 | $168 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $122 | $151 | $174 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $100 | $117 | $134 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $52 | $255 | $356 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $209 | $304 | $398 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $109 | $109 | $109 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $156 | $156 | $156 |
| EMG needle each extremity complete CPT 95886 • Neurology | $88 | $97 | $106 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $49 | $49 | $49 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $99 | $118 | $131 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $73 | $125 | $157 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $99 | $172 | $207 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $169 | $291 | $338 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $58 | $76 | $93 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $95 | $116 | $131 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $125 | $174 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $233 | $246 | $254 |
| Office visit established patient minimal CPT 99211 • Office Visits | $21 | $33 | $45 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $44 | $56 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $56 | $77 | $91 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $82 | $107 | $132 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $128 | $157 | $177 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $72 | $129 | $175 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $114 | $149 | $175 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $181 | $223 | $238 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $48 | $60 | $83 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $65 | $80 | $85 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $89 | $115 | $123 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $66 | $80 | $87 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $97 | $117 | $127 |
| Consultation office low complexity CPT 99243 • Office Visits | $154 | $157 | $163 |
| Consultation office high complexity CPT 99245 • Office Visits | $174 | $224 | $269 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $615 | $733 | $828 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $64 | $64 | $64 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,510 | $1,510 | $1,510 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $45 | $156 | $234 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,141 | $1,221 | $1,382 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $455 | $455 | $455 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $45 | $316 | $476 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $45 | $663 | $1,265 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $45 | $542 | $901 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $45 | $105 | $155 |