| Antepartum care 7 or more visits CPT 59426 • Maternity | $1,086 | $1,102 | $1,117 |
| Postpartum care only CPT 59430 • Maternity | $209 | $243 | $276 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $3,166 | $3,166 | $3,166 |
| Cesarean delivery only CPT 59514 • Maternity | $198 | $465 | $732 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $1,082 | $1,414 | $1,746 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $2,013 | $2,361 | $3,058 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $69 | $89 | $109 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $126 | $157 | $187 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $240 | $240 | $240 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $26 | $69 | $113 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $53 | $93 | $128 |
| Interactive complexity add-on CPT 90785 • Mental Health | $14 | $14 | $14 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $106 | $118 | $131 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $185 | $189 | $191 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $72 | $74 | $76 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $70 | $79 | $89 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $75 | $80 | $86 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $61 | $61 | $61 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $97 | $114 | $131 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $117 | $134 | $151 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $143 | $143 | $143 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $62 | $62 | $62 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $102 | $104 | $106 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $101 | $104 | $107 |
| Group psychotherapy CPT 90853 • Mental Health | $20 | $23 | $25 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $70 | $98 | $126 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $124 | $198 | $271 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $123 | $194 | $264 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $80 | $221 | $362 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $80 | $249 | $417 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $105 | $107 | $109 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $158 | $158 | $158 |
| EMG needle each extremity complete CPT 95886 • Neurology | $90 | $111 | $131 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $85 | $85 | $85 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $94 | $103 | $111 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $129 | $163 | $197 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $165 | $212 | $259 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $270 | $341 | $412 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $55 | $79 | $102 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $86 | $136 | $185 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $162 | $192 | $223 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $137 | $194 | $235 |
| Office visit established patient minimal CPT 99211 • Office Visits | $17 | $28 | $39 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $43 | $51 | $60 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $70 | $86 | $101 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $106 | $113 | $116 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $139 | $168 | $198 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $64 | $121 | $178 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $101 | $151 | $201 |