| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $107 | $111 | $115 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $102 | $162 | $193 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $153 | $160 | $166 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $164 | $182 | $200 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $92 | $94 | $96 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $123 | $127 | $131 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $129 | $144 | $160 |
| Group psychotherapy CPT 90853 • Mental Health | $35 | $39 | $42 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $173 | $194 | $215 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $138 | $171 | $204 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $126 | $144 | $162 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $71 | $221 | $372 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $71 | $248 | $425 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $63 | $104 | $124 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $35 | $137 | $202 |
| EMG needle each extremity complete CPT 95886 • Neurology | $66 | $78 | $91 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $66 | $81 | $96 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $82 | $110 | $125 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $98 | $98 | $98 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $196 | $209 | $222 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $230 | $261 | $292 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $60 | $80 | $113 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $79 | $127 | $160 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $139 | $173 | $212 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $168 | $218 | $304 |
| Office visit established patient minimal CPT 99211 • Office Visits | $21 | $28 | $34 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $52 | $64 | $72 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $83 | $91 | $110 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $106 | $137 | $163 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $181 | $193 | $214 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $76 | $109 | $146 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $121 | $161 | $197 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $161 | $217 | $291 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $45 | $64 | $84 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $58 | $98 | $130 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $103 | $134 | $150 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $75 | $94 | $106 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $106 | $140 | $156 |
| Consultation office low complexity CPT 99243 • Office Visits | $142 | $155 | $180 |
| Consultation office high complexity CPT 99245 • Office Visits | $185 | $259 | $326 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $467 | $638 | $808 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $56 | $62 | $69 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,179 | $1,446 | $1,713 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $233 | $296 | $358 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,206 | $1,399 | $1,592 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $645 | $677 | $739 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $437 | $437 | $437 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,082 | $1,082 | $1,082 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $461 | $626 | $790 |