| Psychotherapy 60 minutes CPT 90837 • Mental Health | $154 | $154 | $154 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $114 | $114 | $114 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $126 | $126 | $126 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $67 | $67 | $67 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $98 | $98 | $98 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $129 | $129 | $129 |
| Group psychotherapy CPT 90853 • Mental Health | $31 | $31 | $31 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $107 | $107 | $107 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $158 | $158 | $158 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $125 | $133 | $141 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $55 | $55 | $55 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $56 | $56 | $56 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $60 | $60 | $60 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $187 | $187 | $187 |
| EMG needle each extremity complete CPT 95886 • Neurology | $103 | $103 | $103 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $52 | $52 | $52 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $135 | $135 | $135 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $58 | $58 | $58 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $104 | $104 | $104 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $216 | $216 | $216 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $68 | $68 | $68 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $70 | $95 | $121 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $90 | $130 | $181 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $180 | $183 | $186 |
| Office visit established patient minimal CPT 99211 • Office Visits | $8 | $15 | $21 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $38 | $45 | $52 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $47 | $72 | $98 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $66 | $74 | $91 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $130 | $163 | $195 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $93 | $93 | $93 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $124 | $125 | $125 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $185 | $185 | $185 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $34 | $34 | $34 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $62 | $69 | $75 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $95 | $95 | $95 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $62 | $62 | $62 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $91 | $91 | $91 |
| Consultation office low complexity CPT 99243 • Office Visits | $105 | $105 | $105 |
| Consultation office high complexity CPT 99245 • Office Visits | $192 | $192 | $192 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $519 | $519 | $519 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $41 | $41 | $41 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,236 | $1,236 | $1,236 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $257 | $257 | $257 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $1,045 | $1,045 | $1,045 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $613 | $613 | $613 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $282 | $282 | $282 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $782 | $782 | $782 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $611 | $611 | $611 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $96 | $96 | $96 |