| Psychotherapy 60 minutes CPT 90837 • Mental Health | $197 | $197 | $197 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $181 | $181 | $181 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $197 | $197 | $197 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $99 | $99 | $99 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $141 | $141 | $141 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $173 | $173 | $173 |
| Group psychotherapy CPT 90853 • Mental Health | $48 | $48 | $48 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $8 | $8 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $229 | $229 | $229 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $252 | $252 | $252 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $199 | $199 | $199 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $180 | $180 | $180 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $232 | $385 | $538 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $55 | $55 | $55 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $172 | $172 | $172 |
| EMG needle each extremity complete CPT 95886 • Neurology | $63 | $63 | $63 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $85 | $85 | $85 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $107 | $107 | $107 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $127 | $127 | $127 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $126 | $126 | $126 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $186 | $186 | $186 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $96 | $97 | $98 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $143 | $167 | $190 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $25 | $134 | $202 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $25 | $216 | $367 |
| Office visit established patient minimal CPT 99211 • Office Visits | $31 | $31 | $32 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $56 | $57 | $58 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $69 | $73 | $77 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $99 | $106 | $121 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $176 | $216 | $255 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $102 | $168 | $234 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $168 | $206 | $243 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $234 | $284 | $360 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $51 | $52 | $53 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $83 | $106 | $129 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $118 | $127 | $135 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $105 | $117 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $143 | $159 | $190 |
| Consultation office low complexity CPT 99243 • Office Visits | $181 | $181 | $181 |
| Consultation office high complexity CPT 99245 • Office Visits | $331 | $331 | $331 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $854 | $854 | $854 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $94 | $94 | $94 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,536 | $1,536 | $1,536 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $461 | $461 | $461 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,384 | $1,384 | $1,384 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $741 | $741 | $741 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $543 | $543 | $543 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,337 | $1,337 | $1,337 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $1,004 | $1,004 | $1,004 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $296 | $296 | $296 |