| Psychotherapy 60 minutes CPT 90837 • Mental Health | $181 | $189 | $199 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $92 | $124 | $156 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $118 | $147 | $176 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $74 | $91 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $112 | $146 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $81 | $116 | $151 |
| Group psychotherapy CPT 90853 • Mental Health | $21 | $27 | $33 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $6 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $194 | $218 | $243 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $175 | $188 | $200 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $171 | $183 | $194 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $78 | $317 | $436 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $78 | $323 | $511 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $158 | $158 | $158 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $111 | $111 | $111 |
| EMG needle each extremity complete CPT 95886 • Neurology | $116 | $120 | $124 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $126 | $126 | $126 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $55 | $117 | $163 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $93 | $149 | $194 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $124 | $196 | $255 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $255 | $311 | $339 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $66 | $89 | $106 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $101 | $122 | $153 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $166 | $196 | $234 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $131 | $226 | $295 |
| Office visit established patient minimal CPT 99211 • Office Visits | $20 | $25 | $29 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $34 | $55 | $68 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $68 | $90 | $104 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $82 | $106 | $126 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $121 | $173 | $207 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $65 | $137 | $203 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $121 | $166 | $197 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $177 | $230 | $292 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $43 | $50 | $57 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $73 | $107 | $154 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $103 | $127 | $151 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $75 | $108 | $154 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $131 | $143 | $155 |
| Consultation office low complexity CPT 99243 • Office Visits | $110 | $137 | $161 |
| Consultation office high complexity CPT 99245 • Office Visits | $295 | $308 | $320 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $758 | $832 | $935 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $74 | $90 | $106 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,567 | $1,702 | $1,837 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $275 | $322 | $368 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,445 | $1,568 | $1,691 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $848 | $920 | $993 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $296 | $381 | $454 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $663 | $982 | $1,232 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $508 | $781 | $990 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $119 | $137 | $158 |