| Psychotherapy 60 minutes CPT 90837 • Mental Health | $138 | $138 | $138 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $119 | $119 | $119 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $131 | $131 | $131 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $69 | $69 | $69 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $102 | $102 | $102 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $105 | $105 | $105 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $28 | $28 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $91 | $91 | $91 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $191 | $191 | $191 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $190 | $190 | $190 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $57 | $57 | $57 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $355 | $355 | $355 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $52 | $52 | $52 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $83 | $83 | $83 |
| EMG needle each extremity complete CPT 95886 • Neurology | $48 | $48 | $48 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $54 | $54 | $54 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $118 | $118 | $118 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $61 | $61 | $61 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $78 | $78 | $78 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $189 | $189 | $189 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $54 | $56 | $59 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $84 | $107 | $131 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $102 | $165 | $196 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $162 | $178 | $193 |
| Office visit established patient minimal CPT 99211 • Office Visits | $18 | $18 | $18 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $20 | $51 | $66 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $58 | $90 | $106 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $85 | $128 | $150 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $114 | $141 | $167 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $80 | $80 | $80 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $109 | $109 | $109 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $160 | $160 | $160 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $31 | $85 | $140 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $57 | $57 | $57 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $82 | $82 | $82 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $57 | $57 | $57 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $84 | $84 | $84 |
| Consultation office low complexity CPT 99243 • Office Visits | $97 | $97 | $97 |
| Consultation office high complexity CPT 99245 • Office Visits | $177 | $177 | $177 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $787 | $819 | $852 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $53 | $53 | $53 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,603 | $1,652 | $1,701 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $299 | $402 | $505 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,516 | $1,542 | $1,569 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $719 | $719 | $719 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $428 | $512 | $595 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,077 | $1,270 | $1,463 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $785 | $943 | $1,102 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $145 | $235 | $324 |