| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $76 | $81 | $87 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $111 | $126 | $140 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $115 | $125 | $135 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $135 | $149 | $163 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $65 | $73 | $81 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $89 | $90 | $92 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $86 | $100 | $114 |
| Group psychotherapy CPT 90853 • Mental Health | $20 | $21 | $22 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $4 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $164 | $166 | $168 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $137 | $146 | $158 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $100 | $118 | $135 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $252 | $306 | $359 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $271 | $345 | $419 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $90 | $95 | $103 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $131 | $134 | $139 |
| EMG needle each extremity complete CPT 95886 • Neurology | $86 | $91 | $97 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $45 | $75 | $104 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $57 | $105 | $129 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $54 | $54 | $54 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $90 | $146 | $203 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $159 | $246 | $333 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $57 | $58 | $59 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $79 | $81 | $83 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $85 | $107 | $128 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $97 | $131 | $160 |
| Office visit established patient minimal CPT 99211 • Office Visits | $6 | $11 | $16 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $24 | $28 | $32 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $53 | $53 | $53 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $58 | $68 | $73 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $75 | $86 | $98 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $58 | $68 | $78 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $91 | $99 | $107 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $121 | $146 | $158 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $32 | $33 | $34 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $46 | $52 | $58 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $66 | $74 | $83 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $58 | $58 | $58 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $83 | $84 | $85 |
| Consultation office low complexity CPT 99243 • Office Visits | $95 | $104 | $113 |
| Consultation office high complexity CPT 99245 • Office Visits | $164 | $190 | $203 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $377 | $439 | $501 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $26 | $45 | $65 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $856 | $856 | $856 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $148 | $148 | $148 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $813 | $952 | $1,091 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $388 | $518 | $583 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $261 | $261 | $261 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $545 | $545 | $545 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $400 | $400 | $400 |