| Psychotherapy 60 minutes CPT 90837 • Mental Health | $195 | $195 | $195 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $170 | $170 | $170 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $205 | $205 | $205 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $98 | $98 | $98 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $158 | $158 | $158 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $163 | $163 | $163 |
| Group psychotherapy CPT 90853 • Mental Health | $40 | $40 | $40 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $8 | $8 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $229 | $237 | $245 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $207 | $207 | $207 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $179 | $179 | $179 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $542 | $542 | $542 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $538 | $579 | $619 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $80 | $80 | $80 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $131 | $131 | $131 |
| EMG needle each extremity complete CPT 95886 • Neurology | $72 | $72 | $72 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $62 | $62 | $62 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $76 | $76 | $76 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $124 | $124 | $124 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $167 | $167 | $167 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $292 | $292 | $292 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $98 | $106 | $114 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $166 | $178 | $190 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $76 | $151 | $202 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $76 | $254 | $367 |
| Office visit established patient minimal CPT 99211 • Office Visits | $14 | $23 | $32 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $39 | $48 | $58 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $69 | $74 | $79 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $99 | $106 | $121 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $221 | $238 | $255 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $158 | $196 | $234 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $213 | $228 | $243 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $258 | $311 | $360 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $53 | $57 | $61 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $111 | $120 | $129 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $135 | $148 | $161 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $112 | $120 | $129 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $143 | $166 | $190 |
| Consultation office low complexity CPT 99243 • Office Visits | $148 | $148 | $148 |
| Consultation office high complexity CPT 99245 • Office Visits | $343 | $343 | $343 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $929 | $929 | $929 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $82 | $82 | $82 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,824 | $1,824 | $1,824 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $367 | $367 | $367 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,484 | $1,484 | $1,484 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $983 | $983 | $983 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $451 | $451 | $451 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $1,223 | $1,223 | $1,223 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $982 | $982 | $982 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $157 | $157 | $157 |