| Psychotherapy 60 minutes CPT 90837 • Mental Health | $222 | $222 | $222 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $192 | $192 | $192 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $256 | $256 | $256 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $122 | $122 | $122 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $179 | $179 | $179 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $186 | $186 | $186 |
| Group psychotherapy CPT 90853 • Mental Health | $49 | $49 | $49 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $3 | $6 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $302 | $302 | $302 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $132 | $211 | $290 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $134 | $211 | $288 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $514 | $514 | $514 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $102 | $102 | $102 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $92 | $92 | $92 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $149 | $149 | $149 |
| EMG needle each extremity complete CPT 95886 • Neurology | $81 | $88 | $95 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $69 | $69 | $69 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $113 | $161 | $209 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $143 | $147 | $151 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $178 | $184 | $191 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $190 | $255 | $320 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $60 | $70 | $88 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $95 | $140 | $185 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $163 | $193 | $226 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $30 | $205 | $359 |
| Office visit established patient minimal CPT 99211 • Office Visits | $16 | $23 | $30 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $52 | $78 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $65 | $95 | $129 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $94 | $133 | $187 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $137 | $195 | $252 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $30 | $93 | $178 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $103 | $172 | $240 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $168 | $234 | $353 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $48 | $58 | $69 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $30 | $72 | $126 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $30 | $100 | $182 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $127 | $127 | $127 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $187 | $187 | $187 |
| Consultation office low complexity CPT 99243 • Office Visits | $30 | $122 | $214 |
| Consultation office high complexity CPT 99245 • Office Visits | $392 | $392 | $392 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $756 | $1,046 | $1,336 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $58 | $58 | $58 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,851 | $1,851 | $1,851 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $234 | $309 | $385 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,048 | $1,378 | $1,708 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $783 | $783 | $783 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $425 | $445 | $466 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $606 | $889 | $1,172 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $30 | $460 | $854 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $103 | $122 | $155 |