| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $53 | $56 | $59 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $106 | $112 | $117 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $77 | $92 | $107 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $83 | $106 | $130 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $45 | $55 | $64 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $65 | $66 | $67 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $70 | $85 | $100 |
| Group psychotherapy CPT 90853 • Mental Health | $16 | $20 | $24 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $3 | $3 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $92 | $116 | $140 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $89 | $116 | $143 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $61 | $102 | $143 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $224 | $307 | $390 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $267 | $360 | $453 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $75 | $99 | $111 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $51 | $123 | $159 |
| EMG needle each extremity complete CPT 95886 • Neurology | $63 | $79 | $96 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $27 | $57 | $87 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $42 | $87 | $109 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $53 | $92 | $131 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $116 | $144 | $171 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $70 | $174 | $278 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $29 | $45 | $62 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $82 | $89 | $96 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $81 | $137 | $165 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $149 | $180 | $212 |
| Office visit established patient minimal CPT 99211 • Office Visits | $17 | $20 | $23 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $19 | $34 | $49 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $37 | $57 | $78 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $78 | $98 | $108 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $134 | $144 | $154 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $73 | $76 | $78 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $99 | $110 | $122 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $109 | $145 | $164 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $31 | $38 | $46 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $52 | $63 | $74 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $74 | $93 | $112 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $52 | $64 | $76 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $77 | $98 | $109 |
| Consultation office low complexity CPT 99243 • Office Visits | $83 | $100 | $129 |
| Consultation office high complexity CPT 99245 • Office Visits | $139 | $205 | $238 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $362 | $461 | $560 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $39 | $48 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $778 | $778 | $778 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $109 | $109 | $109 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $598 | $992 | $1,386 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $285 | $526 | $648 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $198 | $198 | $198 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $402 | $402 | $402 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $360 | $523 | $686 |