| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $86 | $97 | $116 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $99 | $114 | $132 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $91 | $112 | $144 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $96 | $124 | $150 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $61 | $71 | $82 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $90 | $106 | $130 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $76 | $123 | $158 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $22 | $23 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $123 | $128 | $133 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $132 | $135 | $137 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $133 | $134 | $136 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $310 | $352 | $387 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $56 | $297 | $429 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $61 | $94 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $80 | $133 | $161 |
| EMG needle each extremity complete CPT 95886 • Neurology | $86 | $91 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $52 | $78 | $91 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $111 | $112 | $115 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $58 | $88 | $134 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $104 | $154 | $182 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $262 | $280 | $289 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $48 | $66 | $78 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $102 | $137 | $170 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $147 | $172 | $228 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $161 | $198 | $236 |
| Office visit established patient minimal CPT 99211 • Office Visits | $22 | $27 | $37 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $36 | $47 | $59 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $61 | $77 | $88 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $103 | $145 | $191 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $103 | $119 | $149 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $110 | $147 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $131 | $162 | $198 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $221 | $231 | $248 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $74 | $111 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $84 | $107 | $120 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $103 | $112 | $121 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $69 | $92 | $112 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $123 | $135 | $143 |
| Consultation office low complexity CPT 99243 • Office Visits | $117 | $138 | $159 |
| Consultation office high complexity CPT 99245 • Office Visits | $259 | $276 | $285 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $563 | $582 | $601 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $37 | $43 | $49 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,255 | $1,255 | $1,255 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $197 | $197 | $197 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,047 | $1,084 | $1,157 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $478 | $481 | $483 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $315 | $315 | $315 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $712 | $713 | $715 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $496 | $512 | $522 |