| Auto-added CPT 94780 • General | $0 | $0 | $0 |
| Auto-added CPT 95806 • General | $1 | $1 | $1 |
| Auto-added CPT 95807 • General | $4 | $4 | $4 |
| Auto-added CPT 95808 • General | $7 | $7 | $7 |
| Auto-added CPT 95812 • General | $3 | $3 | $3 |
| Auto-added CPT 95813 • General | $3 | $3 | $3 |
| Auto-added CPT 97007 • General | $18 | $18 | $18 |
| Auto-added CPT 97008 • General | $0 | $0 | $0 |
| Auto-added CPT 97009 • General | $0 | $0 | $0 |
| Auto-added CPT 97550 • General | $1 | $1 | $1 |
| Interactive complexity add-on CPT 90785 • Mental Health | $0 | $0 | $0 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $1 | $1 | $1 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $1 | $1 | $1 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $1 | $1 | $1 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $1 | $1 | $1 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $1 | $1 | $1 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $1 | $1 | $1 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $1 | $1 | $1 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $1 | $1 | $1 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $1 | $1 | $1 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $1 | $1 | $1 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $1 | $1 | $1 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $1 | $1 | $1 |
| Group psychotherapy CPT 90853 • Mental Health | $0 | $0 | $0 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $0 | $0 | $0 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $4 | $4 | $4 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $1 | $1 | $1 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $1 | $1 | $1 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $2 | $2 | $2 |
| EMG needle each extremity complete CPT 95886 • Neurology | $0 | $0 | $0 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $0 | $0 | $0 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $1 | $1 | $1 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $1 | $1 | $1 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $1 | $1 | $1 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $2 | $2 | $2 |
| Genetic counseling 30 minutes CPT 96040 • Preventive Care | $0 | $0 | $0 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $0 | $0 | $0 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $1 | $1 | $1 |
| Spirometry CPT 94010 • Pulmonology | $0 | $0 | $0 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $0 | $0 | $0 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $0 | $0 | $0 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $0 | $0 | $0 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $2 | $2 | $2 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $0 | $0 | $0 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $0 | $0 | $0 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $0 | $0 | $0 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $0 | $0 | $0 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $0 | $0 | $0 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $0 | $0 | $0 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $0 | $0 | $0 |