| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $179 | $179 | $179 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $67 | $67 | $67 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $99 | $99 | $99 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $91 | $91 | $91 |
| Group psychotherapy CPT 90853 • Mental Health | $45 | $45 | $45 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $44 | $44 | $44 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $83 | $83 | $83 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $20 | $20 | $20 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $399 | $399 | $399 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $469 | $469 | $469 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $118 | $118 | $118 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $170 | $170 | $170 |
| EMG needle each extremity complete CPT 95886 • Neurology | $21 | $21 | $21 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $41 | $41 | $41 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $51 | $51 | $51 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $79 | $79 | $79 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $78 | $78 | $78 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $297 | $297 | $297 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $6 | $6 | $6 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $44 | $44 | $44 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $14 | $14 | $14 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $168 | $168 | $168 |
| Office visit established patient minimal CPT 99211 • Office Visits | $10 | $10 | $10 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $38 | $38 | $38 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $81 | $81 | $81 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $12 | $12 | $12 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $74 | $74 | $74 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $123 | $123 | $123 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $112 | $112 | $112 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $44 | $44 | $44 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $44 | $44 | $44 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $78 | $78 | $78 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $95 | $95 | $95 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $72 | $72 | $72 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $99 | $99 | $99 |
| Consultation office low complexity CPT 99243 • Office Visits | $6 | $6 | $6 |
| Consultation office high complexity CPT 99245 • Office Visits | $18 | $18 | $18 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $426 | $426 | $426 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $44 | $44 | $44 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,429 | $1,429 | $1,429 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $50 | $50 | $50 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $200 | $200 | $200 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $93 | $93 | $93 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $58 | $58 | $58 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $906 | $906 | $906 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $662 | $662 | $662 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $111 | $111 | $111 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $721 | $721 | $721 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $127 | $127 | $127 |