| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $88 | $91 | $95 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $145 | $147 | $149 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $151 | $155 | $158 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $150 | $159 | $167 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $65 | $66 | $68 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $79 | $92 | $105 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $108 | $120 | $132 |
| Group psychotherapy CPT 90853 • Mental Health | $26 | $41 | $56 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $184 | $264 | $344 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $42 | $107 | $164 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $152 | $161 | $169 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $323 | $334 | $344 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $63 | $217 | $370 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $56 | $90 | $109 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $88 | $134 | $157 |
| EMG needle each extremity complete CPT 95886 • Neurology | $79 | $96 | $114 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $59 | $71 | $83 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $75 | $96 | $109 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $54 | $63 | $72 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $118 | $160 | $193 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $128 | $193 | $259 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $46 | $69 | $92 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $33 | $57 | $80 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $42 | $118 | $180 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $42 | $164 | $269 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $23 | $28 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $55 | $61 | $68 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $33 | $58 | $108 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $33 | $79 | $110 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $174 | $196 | $217 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $84 | $161 | $239 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $113 | $176 | $239 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $16 | $152 | $277 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $32 | $42 | $53 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $59 | $87 | $115 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $84 | $112 | $139 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $60 | $87 | $115 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $87 | $108 | $126 |
| Consultation office low complexity CPT 99243 • Office Visits | $42 | $95 | $131 |
| Consultation office high complexity CPT 99245 • Office Visits | $21 | $149 | $269 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $512 | $617 | $722 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $43 | $62 | $81 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,117 | $1,260 | $1,403 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $192 | $192 | $192 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $849 | $1,002 | $1,155 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $482 | $584 | $763 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $30 | $129 | $228 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $581 | $761 | $942 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $522 | $522 | $522 |