| Psychotherapy 60 minutes CPT 90837 • Mental Health | $114 | $151 | $188 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $91 | $112 | $133 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $145 | $162 | $180 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $70 | $79 | $89 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $100 | $122 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $102 | $128 |
| Group psychotherapy CPT 90853 • Mental Health | $30 | $30 | $30 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $79 | $79 | $79 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $172 | $172 | $172 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $172 | $172 | $172 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $472 | $472 | $472 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $379 | $427 | $476 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $140 | $140 | $140 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $99 | $99 | $99 |
| EMG needle each extremity complete CPT 95886 • Neurology | $57 | $57 | $57 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $112 | $112 | $112 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $57 | $57 | $57 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $69 | $69 | $69 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $220 | $220 | $220 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $126 | $126 | $126 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $71 | $94 | $110 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $112 | $137 | $171 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $132 | $160 | $191 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $162 | $244 | $336 |
| Office visit established patient minimal CPT 99211 • Office Visits | $7 | $25 | $35 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $41 | $66 | $86 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $107 | $138 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $129 | $167 | $195 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $121 | $200 | $274 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $80 | $96 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $103 | $126 | $150 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $30 | $159 | $267 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $43 | $50 | $57 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $83 | $105 | $122 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $138 | $141 | $144 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $72 | $83 | $93 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $103 | $117 | $132 |
| Consultation office low complexity CPT 99243 • Office Visits | $103 | $103 | $103 |
| Consultation office high complexity CPT 99245 • Office Visits | $244 | $244 | $244 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $697 | $728 | $758 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $49 | $49 | $49 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,484 | $1,484 | $1,484 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $245 | $252 | $259 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,374 | $1,374 | $1,374 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $635 | $635 | $635 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $296 | $336 | $377 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $663 | $800 | $937 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $355 | $520 | $684 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $143 | $157 | $171 |