| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $98 | $103 | $114 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $139 | $165 | $191 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $136 | $150 | $164 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $177 | $188 | $199 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $66 | $81 | $96 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $135 | $142 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $125 | $137 | $145 |
| Group psychotherapy CPT 90853 • Mental Health | $38 | $38 | $38 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $6 | $6 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $96 | $158 | $192 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $17 | $98 | $180 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $134 | $154 | $181 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $90 | $364 | $518 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $490 | $543 | $596 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $72 | $86 | $93 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $114 | $127 | $134 |
| EMG needle each extremity complete CPT 95886 • Neurology | $128 | $133 | $141 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $54 | $64 | $74 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $92 | $116 | $163 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $56 | $119 | $201 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $71 | $151 | $234 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $261 | $340 | $432 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $60 | $86 | $118 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $144 | $146 | $149 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $162 | $257 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $180 | $269 | $372 |
| Office visit established patient minimal CPT 99211 • Office Visits | $13 | $24 | $35 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $36 | $66 | $93 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $65 | $81 | $100 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $125 | $148 | $172 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $196 | $239 | $276 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $97 | $133 | $171 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $171 | $186 | $199 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $151 | $207 | $276 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $54 | $86 | $130 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $99 | $115 | $130 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $110 | $141 | $181 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $99 | $114 | $130 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $144 | $149 | $153 |
| Consultation office low complexity CPT 99243 • Office Visits | $93 | $126 | $167 |
| Consultation office high complexity CPT 99245 • Office Visits | $59 | $199 | $306 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $606 | $716 | $827 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $41 | $46 | $50 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,237 | $1,417 | $1,597 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $332 | $332 | $332 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,149 | $1,311 | $1,473 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $531 | $579 | $675 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $318 | $318 | $318 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,011 | $1,011 | $1,011 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $571 | $654 | $737 |